2009-01-22_PERMIT FILE - M2009010

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iF -4- 12. Primary future (Post-minluM land use (check on _ Cropland(CR)Pastureland(PL) _-_- Rangeland(RL) Forestry(FR) - Residential(RS) _ Recreation(RC) - Developed Water Resources(WR) 13. Primary present land use (cheek one): - Cropland(CR) Pastureland(PL) - Rangeland(RL) ` Forestry(FR) - Residential(RS) _ Recreation(RC) .- Developed Water Resources (WR) _ General Agriculture(GA) Wildlife Habitat(WL) _ Industrial/Commercial(IC) Solid Waste Disposal(WD) __._ General Agnculture(GA) - Wildlife Habitat(WL) - Industrial/Commercial(IC) _.,_ Mining (MN) 14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use this application form. You must submit either a l l tld or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: 15. DgscrlptSgn of Amendment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): Ai / Ig Maps & Exhibits: Submit two (2) complete, unbound copies of the following application exhibits: 6.3.1 EXHIBIT A - Legal Description and Location Map 6.3.2 EXHIBIT B - Site Description 6.3.3 EXHIBIT C - Mining Plan 6.3.4 EXHIBIT D - Reclamation Plan 6.3.5 EXHIBIT E - Maps, to include the location of any recorded easements 6.3.6 EXHIBIT F - List of Other Permits and Licenses Required. 6.3.7 EXHIBIT G - Source of Legal Right-to-Enter 6.3.8 EXHIBIT H - Municipalities Within a Two-mile Radius 6.3.9 EXHIBIT I - Proof of Filing with County Clerk 6.3.10 EXHIBIT J - Proof of Mailing Notices of Permit Application 6.3.12 EXHIBIT L - Permanent Man-Made Structures 1.6.2(I)(b) ADDENDUM 1 - Notice Requirements (sample enclosed) 6.5 Geotechnical Stability Exhibit (as required)