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-4- <br />12. Primary future (Post-mining) land use (check one): <br />_ Cropland(CR) - Pastureland(PL) <br />Rangeland(RL) - Forestry(FR) <br />Y-Residential(RS) _ Recreation(RC) <br />_ Developed Water Resotuces(WR) <br />13. Primary present land use (check one): <br />- Cropland(CR) Pastureland(PL) <br />___. Rangeland(RL) _ Forestry(FR) <br />- Residential(RS) Recreation(RC) <br />- Developed Water Resources (WR) <br />_ General Agriculture(GA) <br />Wildlife Habitat(WL) <br />lndustrialfCommercial(IC) <br />Solid Waste Disposal(WD) <br />General Agriculture(GA) <br />_ Wildlife Habitat(WL) <br />Industrial/Commercial(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 110d''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 mitring operation, and whether the operation will <br />result in or presently has acid mine drainage: <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 EXHIBIT D - Reclamation Flan <br />63.5 EXHIBIT E. -141:aps. to include the location of arty, recorded easemews <br />6.3.6 E zIH[Brr F" - List of Od-y_er Permits and Licenses require <br />63.7 1 XHIBIT G - Source of Legal Right-to-Easter <br />63.8 E XHIBI l' 1:1 - M-avicioalitles within a irwo-mile Radius <br />6.19 EXHIBIT I - Proof of Piling 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(l)(b) ADDENDUM I -Notice Requirements (sample enclosed) <br />6.5 Geotechnical Stability Exhibit (as required)