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-4- <br />12. Primarv ruture (Post-minine) land use (check one): <br />- Cropland(CR) ^ Paslurcland(PL) <br />-__- Rangetand(RI-) ^ Forestry(FR) <br />Residential(RS) ___ Recreation(RC) <br />_ Developed Water Resources(WR) <br />13. Primarv present land use (check one): <br />- Cropland(CR) _ Pasturcland(PL) <br />X. Rangeland(RL) Forestry(FR) <br />_-_- Residential(RS) Recreation(RC) <br />- Developed Water Resources (WR) <br />X_ General Agriculture(GA) <br />- Wildlife Flabitat(Wt.) <br />__._ industriab"Com mercial(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 1124 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 />None <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 />NA <br />Main & 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 EXI IIBIT C - Mining Plan <br />6.14 EX1-IJBlT D - Reclamation Plan <br />6.3.5 EXHIBIT Es - Maps, to include the location of any recorded easements <br />6.3.6 E:XtIE-BIT F= - List of Other Permits and Licenses Required <br />6.3.7 vlxi. I131T G - Source of Legal Right-to-Einter <br />6.3.8 BXI11131T H - Municipalities Within a Two-mile Radius <br />6.3.9 EXHIBIT 1 - Proof of Filing with County Clerk <br />6.3.10 EXI-IIBIT J - Proof of Mailing Notices o(' Permit Application <br />6.3.12 EXI IiBIT 1, - Permanent Man-,Liade Structures <br />1.6.2(1)(b) ADl)riNDUM 1 - Notice Requirements (sample enclosed) <br />6.5 Gcotechnical Stability Exhibit (as required)