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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 I10d 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 />None Identfied-Samples have been obtained and determined not be acid <br />generated-chemicals used are considered to have low toxicity however the quantities to be <br />use .are minima . Ica as installed a emica monitoring program to monitor surface an <br />gFetimd water . <br />adriition WH rat ha-, committed to gaining renresPntative nra and wacta rnrk to pprindorally <br />determine if the rock is potentially acid producing <br />15. Description of Conversion: If you are converting an existing operation, provide a brief narrative describing the proposed <br />change(s): <br />16. Maas & Exhibit g: Submit two (2) complete. unbound conies of the following application exhibits: <br />6.3.1 EXHIBIT A- Legal Description and Location Map <br />6.3.2 EXHI76IT B - Site Description <br />6.3.3 EXHIIBI T 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 EXH1131T G - Source of Legal Right-to-Enter <br />6.3.8 EXHI13IT H - Municipalities Within a Two-mile Radius <br />6.3.9 F-XH1131T I - Proof of Filing with County Clerk <br />6.3.10 EXH1131T J - Proof of Mailing Notices of Permit Application <br />6.3.12 EXH113IT L - Permanent Man-Made Structures <br />6.4.19 EXH113IT S - (as required) <br />6.5 Geotec:hnical Stability Exhibit (as required)