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OCT-02-2008 01:18PM FROM-DIV RECLAMATION MINING & SAFETY +3038328106 <br />-d- <br />12. Primary future (Post-minim.) land use (check one): <br />- Cropland(CR) _ Pasturciund(PL) <br />X Rangcland(RL) Forestry(FR) <br />Residential(RS) _ Recreation(RC) <br />Developed Water Resources(WR) <br />13. Prirttarv uresent land use (check one): <br />T-538 P-004/004 F-749 <br />General Agiculturc(GA) <br />Wildlife Habilat(WQ <br />Industrial/Conunercial(IC) <br />Solid Waste Disposal(WD) <br />..- Cropland(CR) - Pastureland(PL) General Agricultura(GA) <br />X Rangeland(RL) - Forestry(FR) _ Wildlife Habitat(WL) <br />Rcsidcntial(RS) Rccrcation(RC) -? Industrial/Commercial(IC) <br />Developed Water Resources (WP,) Mining (XN) <br />14, If this operation will use designated chemicals, or will result, or presently has acid mute drainage -you cam use this application <br />form. You rnust submit either a t 10d 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 />rusWt in or presently has acid mine drainage: <br />N/A No chemicals will be used, and no acid mine drainage <br />15. _ nescription of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />N/A <br />Mans & Exhibits: <br />Submit two (2) complete, unbound copies of the following application exhibits- <br />63.1 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 Plan <br />6.3.5 EXHIBIT F. - Maps, to include the location of any recorded easements <br />6.3.6 E)GIT.BIT F - List of Other Permits and Licenses Required <br />63.7 EXHIBIT G - Sourcc of Legal Right-to-l ntcr <br />6.3.8 EXHIBIT I-1- Municipalities Within a Two-mile Radius <br />6.3.9 EXHIBIT I -Proof of Filing with Counry Clerk <br />6.3.10 EXHIBIT J - Proof of Mailing Notices of Permit Application <br />6.3.12 EXHIBIT 1, - Permanent Man-Made Structures <br />l .6.2(i)(b) ADDENDUM 1 - Notice Requirements (sample enclosed) <br />6.5 Geotechnical Stability Exhibit (as required)