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-4- <br />12. Primary future Post-mining) land use (check one): <br />- Cropland(CR) - Pastureland(PL) <br />X Rangeland(PL) - Forestry(FR) <br />Residential(RS) -__ Recreation(RC) <br />Developed Water Resources(WR) <br />13. Primary 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 Habitat(WI.) <br />Industriab'Commercial(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 I 1 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 />Not applicable <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 & 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 />6.33 EXHIBIT C - Mining Plan <br />6.3.4 EXHIBIT D - Reclamation Plan <br />6.3.5 E.XFIII)ITE - ;Maps, to include the location of any recorded easements <br />6.3.6 l°:XHIBI"l: F -'List ofOt.hxr Permits and Licenses Required <br />63.7 EXHIBIT (i - Source of Legal Right-to-Enter <br />6.3.8 EXHIBIT H, - Municipalities Within a Two-m.ile Radius <br />6.19 EXHIBIT I - Proof of Filing with County Clerk <br />6.3.10 EXHIBIT J - Proof of Mailing Notices of Permit Application <br />6.3.12 EXHIBIT I., - Permanent Man-Made Structures <br />L6.2(l)(b) ADDENDUM I - Notice Requirements (sample enclosed) <br />6.5 (: eotechnical Stability Exhibit (as required)