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<br />-4- <br />12. Primarv future_(Post-minims) land use (check one): <br />Cropland(CR) Pastureland(PL) <br />Rangeland(RI.,) Forestry(FR) <br />Residential(RS) T Recreation(RC) <br />Developed Water Resources(WR) <br />13. Primarv 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 Iiabitat(WI..) <br />Industrial/Commercial(IC) <br />Solid Waste Disposal(WD) <br />- General Agriculture(GA) <br />___,_ Wildlife Habitat(WL) <br />-. Industrial/Commercial(IC) <br />Mining (M-N) <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 1 I Od 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 />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 &t Exhibits: <br />Submit two (2) complete, unbound copies of the following application exhibits: <br />6.3. 1 <br />EXHIBIT A - Legal Description and Location Map <br />6.32 EXHIBIT B - Site Description <br />6.3.3 EXHIBIT C - Mining Plan <br />6.3.4 EXHIBIT D - :Reclamation Plan <br />63.5 EXHIBIT E - Malls, to include the location of any recorded. easements <br />6.3.6 l"'."HIBU I; - List of C)th.er..Penmits and Licenses .Required. <br />63.7 EXHIBIT Ci -- Source of Legal. Right-to-Enter <br />6.3.8 EX.HIBU H -,Municipalities Within a'I'wo-mile Radius <br />6.3.9 EXHIBIT I - Proof of Filing with County Clerk. <br />6.3.a0 EXa a.•. . I -. 1VV3. VL 1Y1411111r' 'Ivuccs Vl L l:llull I'1Nt/l ll:q.lll/li <br />6.3.1.2 EAHIBIT 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)