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• <br />-4- <br />12. Primary future (Post-mining) land use (check one) <br />Cropland(CR) Pastureland(PL) - General Agriculture(GA) <br />Rangcland(R.L) Forestry(FR) Wildlife Habitat(WL) <br />Residential(RS) _T .Recreation(RC) X- Industrial/Commercial(IC) <br />_ Developed Water Resources(WR) _ Solid Waste Disposal(WD) <br />13. Primary present land use (check one): <br />- Cropland(CR) _ Pasturcland(PL) General Agriculture(GA) <br />-__ Rangeland(RL) A Forestry(FR) _ Wildlife I-labitat(WL) <br />- Residential(RS) _ Recrcation(RC) X Industrial/Commercial(IC) <br />-_ Developed Water Resources (WR) - Mining (VIN) <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. I. 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 />N/A <br />15. Description or 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 />Maps & 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 EXI'IIBIT B - Site Description <br />63.3 EXI-IIF3IT C:.. Mining flan <br />6.3 A E_XIRBIT D - Reclamation I?lar, <br /> - D <br />I'.I E .e'I.ap:;, to inclf_tC{L tl.(; location of any reV;oretW'd. l.:•1:.?S6.rtter??.C <br />y <br />6. i <br />3.t:} y <br />I:' - List t)t t_)tl;.e ' Per'nifts Pnd 1.. icc.nse s Required <br />6.3. 7 1:; J1B11' G - Source of Lc ,I Right-to-Entcr <br />:.+.3. 1'.,%tl-11 fi. 1•i - Municipahtics Within at'Pixo-mile Radius <br />6.3.9 I XH[BIT I - Prool`o:f Filing with C.'Ounty Clerk. <br />6.3.10 1 XI-II.BIT J - Proof of Mailing Notices of Permit Application <br />6.3..12 EXHIBIT I.., -.Permanent Man-Made Structures <br />1.6.2(l)(b) ADDENDUIVI 1 - Notice Requirements (sample enclosed) <br />6-f.i Geotechnical Stability Inhibit (as r_(luircd) <br />0