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4 (FORM 2 - Public filing) <br />11. Drescribe proposed surface excavation or other land disturbance, including roads, pits, trenches, waste piles, drill pads and <br />collar areas of underground workings, ponds, etc... <br />NONE OTHER THAN TEST PITS aft, -0x x . x 4 ; 12-5. <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 0.00 Average Width (ft) Average Length (ft) <br />B. Drill Holes: Quantity 0.00 Depth (ft) Diameter (in) <br />C. Mud Pits: Quantity 0.00 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 />trenches, pits, cuts, rock dumps, or other types of disturbance, describe type, quantity and general dimensions: <br />N/A <br />F. Other Disturbances (please describe): <br />N/A <br />G. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to store. <br />n� <br />WA .,2 - S�c/ ,Ci eve/ d/25 <br />F. New Road(s): Length (ft) Width (ft) <br />Significantly Upgraded Road(s) Length (ft) Width (ft) <br />Are culverts or other crossings proposed? If so, please describe: <br />NO <br />