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DECEIVED <br /> 4 (FORM 2-Public filing) OCT 18 2016 <br /> DIVISION OF RECLAMATION <br /> ]I. Describe proposed surface excavation or other land disturbance.including roads,pits,trenches,wast"Ift Gd9t EW <br /> collar areas of underground workings,ponds,etc... <br /> A maximum of 10 drill pads will be created on,gentle slopes of 2-7 degrees of incline. Each <br /> site will be 25 feet wide by 50 feet long. On the outside edge of each site a cuttings pit will be <br /> excavated. ese pits will a 12 feetwide, 12 feetlong, and 5 feetdeep. The pit will cat6fi drill <br /> cu tti,igs ai id be used to recirculate d,ill water No ,oads will be created. <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 10.00 Average Wi 25.00 (ft)Average Length 50.00 (ft) <br /> B. Drill Holes:Quantity 10.00 Depth 50.00 (ft) Diameter 2.50 (in) <br /> C. Mud Pits: Quantity 10.00 Average Width 12.00 (ft)Average Length 12.00 (ft) <br /> Average Depth 5.00 (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 /> F. Other Disturbances(please describe): <br /> None <br /> G. Indicate Chemicals and Fuels used or stored on site. List type,quantity and method to store. <br /> Diesel 110 gallons in drums or saddle tanks Hydraulic Fluid 10 gallons in 5 gallon buckets_ <br /> Rod Grease 20 gallons in 5 gallon buckets Polymer drilling additive 40 gallons in 5 gallon <br /> buckets Bentonite 1000 pounds in 50 pound bags Cement 500 pounds in 50 pound bags <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 new roads are proposed <br />