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-4- <br />14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use this <br />application form. You must submit a either a 110d or 112d application form for Designated Mining Operations. In either <br />case, you must list any acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and <br />whether the operation will result in or presently has acid mine drainage: <br />No Chemicals (just water) <br />15 <br />Description of Conversion: If you are converting an existing operation, provide a brief narrative describing the proposed <br />change(s): <br />16. Maas & Exhibits: 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 EXHIBIT C - Mining Plan <br />6.3.4 EXHIBIT D - Reclamation Plan <br />6.3.5 EXHIBIT E - Map <br />6.3.6 EXHIBIT F - List of Other Permits and Licenses Required <br />6.3.7 EXHIBIT G - Source of Legal Right-to-Enter <br />6.3.8 EXHIBIT H - Municipalities Within a Two-mile Radius <br />6.3.9 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 L - Permanent Man-Made Structures <br />6.4.19 EXHIBIT S - (as required) <br />6.5 Geotechnical Stability Exhibit (as required)