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-4- <br />12. Primary future (Post-mining) land _use_(check one): <br />_ Cropland(CR) _ Pastureland(PL) <br />Rangciand(RL) - Forestry(FR) <br />Residential(RS) Recreation(RC) <br />Developed Water Resources(WR) <br />13. Primary Present _land _use fchec_k one): <br />- Cropland(CR) _ Pasturcland(PL) <br />___ Rangeland(RL) ZForestry(FR) <br />- Residential(RS) - Recreation(RC) <br />- Developed Water Resources (WR) <br />General Agriculture(GA) <br />_ Wildlife Elabitat(WI,) <br />Industria l/COminercial(IC) <br />Solid Waste Disposal(WD) <br />General Agriculture(GA) <br />Wildlife Habitat(WL) <br />- Industrial/Con}mercial(IC) <br />- Mining (MN) <br />14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application <br />form. You must submit either a I l0d or 112d application form for Designated Mining Operations. In either case, you must list <br />any acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will <br />result in or presently has acid mine drainage: <br />Not applicable <br />15. Description of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />Maps & Exhibits: <br />Submit two (2) complete, unbound copies of the following application exhibits: <br />6.3.1 EXHIBIT A - Legal Description and Location Map <br />6.3.2 EXHIBIT .B - Site Description <br />6.3.3 EXHIBIT C - Mining Plan <br />6.3.4 EX.I-11BIT D - Reclamation Plan <br />6.3.5 E XI1IE31T F - Maps, to include the location of any recorded t};as rnent; <br />63.6 I-V41BIT F - List of Other Petirt;ts an([ 1.1censes Required <br />63.7 1: XHIE3E'l' (:i - Source of I-egal Right-to-inter <br />6.3.8 EXHIBIT Fl. - Municipalities Within a Two-mile Radius <br />6.3.9 EXHIBIT I - Proof of Filing with County Clerk <br />6.3.10 EXHIBIT J - Proof of Mailing Notices of Permit Application <br />6.3.12 EXHIBIT I.. - Permanent Man-Made Structures <br />1.6.2(1)(b) ADDENDUM 'I -Notice Requirements (sample enclosed) <br />6.5 Gcotechnical Stability Exhibit (as required)