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4 (FORM 2 - Public filing) <br />11. Describe proposed surface excavation or other land disturbance, including roads, pits, trenches, waste piles, drill pads and <br />i <br />12. Proposed Disturbance (approximate) Describe the proposed drilling to be conducted, including anticipated number of holes, <br />diameter, depth, location, etc... Submit additional pages if necessary: <br />A Drill Pads: Quantity aft— Average Width (ft) Average Length (ft) <br />B. Drill Holes: Quantity .nfi _ Depth (ft) Diameter (in) <br />C. Mud Pits: Quantity j0pr Average Width (ft) Average Length (ft) <br />Average Depth "— (ft) <br />Described proposed underground work, including reopening of old workings, advancement of adits or shafts, <br />MchesII <br />, pits, cuts, rock dumps, or other types of disturbance, describe type, quantity and general dimensions: <br />CC r. . r z I a_ 1 a e A . . <br />Z m <br />0 <br />Indicate Chem��ls and Fuels used or stored on site. List type, quantity and method to store. <br />fr:,n_A_t <br />F. New Road(s): Length (ft) Width ysy (ft) <br />Significantly Upgraded Road(s) Length (ft) Width (ft) <br />Are culverts or other crossings proposed? If so, please describe: <br />`t re-eV 8 <br />(1A! if zpvj : <br />c- {z9L�r- 2AII 4-L <br />N <br />