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Street/P.O. Box: _ <br />City: <br />State: <br />Telephone Number: <br />Fax Number: <br />Zip Code: <br />CC: STATE OR FEDERAL LANDOWNER (if any) N/A <br />Agency: <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: <br />CC: STATE OR FEDERAL LANDOWNER (if any) N/A <br />Agency: /V114 <br />Street: <br />City: <br />State: Zip Code: <br />Telephone Number: <br />(12.) Primary future (Post-mining) land use (check one): <br />_ Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br />_ Rangeland(RL) _ Forestry(FR) X Wildlife Habitat(WL) <br />_ Residential(RS) - Recreation(RC) _ Industrial/Commercial(IC) <br />- Developed Water Resources(WR) _ Solid Waste Disposal(WD) <br />(13.) Primary Present land use (check one): <br />_ Cropland(CR) _ Pastureland(PL) X General Agriculture(GA) <br />_ Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) <br />_ Residential(RS) _ Recreation(RC) _ Industrial Commercial(IC) <br />Developed Water Resources(AR) <br />(14.) Method of Mining: Briefly explain mining method (e.g. truck/shovel): The proposed mining project <br />will involve surface mining of aggregate from the alluvial floodplain of Devil Creek. The excavation <br />work will be performed with the use of loader and excavator. <br />(15.) On Site Processing: _ Crushing/Screening <br />(15.1) Briefly explain mining method (e.g. truck/shovel): The material will be processed with a <br />cone crusher and jam crusher with the use of conveyors. <br />List any designated chemicals or acid-producing materials to be used or stored within permit area: N/A <br />P.O Box: <br />(16.) Description of Amendment or Conversion: <br />1/14