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Box 11 Threatened or Endangered Species <br /> Please list any federally-listed (or proposed) threatened or endangered species or critical habitat (or <br /> proposed critical habitat) within the project area (include scientific names(e.g.,Genus species), if <br /> known): <br /> a. See page 3 of the Revenue Mine Mitigation Plan b. <br /> C. d. <br /> e. f. <br /> Have surveys, using U.S. Fish and Wildlife Service/NOAA Fisheries protocols, been conducted? <br /> ❑ Yes, Report attached or mail copy separately if applying electronically ® No <br /> If a federally-listed species would be impacted, please provide a description of the impactand a biological evaluation, if <br /> available. <br /> ❑ Yes, Report attached or mail copy separately if applying electronically ❑ Not attached <br /> Has Section 7 consultation been initiated by another federal agency? <br /> ❑ Yes, Initiation letter attached or mail copy separately if applying electronically ❑ No <br /> Has Section 10 consultation been initiated for the proposed project? <br /> ❑ Yes, Initiation letter attached or mail copy separately if applying electronically ❑ No <br /> Has the USFWS/NOAA Fisheries issued a Biological Opinion? <br /> ❑ Yes, Attached (or mail copy separately if applying electronically) ❑ No <br /> If yes, list date Opinion was issued m/d/ <br /> Box 12 Historic properties and cultural resources: <br /> Are any cultural resources of any type known to exist on-site? ❑ Yes ❑ No <br /> Please list any known historic properties listed, or eligible for listing, on the National <br /> Register of Historic Places: <br /> a. See Alpine Archeology Cultural Report b. <br /> C. d. <br /> e. f. <br /> Has a cultural resource records search been conducted? <br /> ® Yes, Report attached or mail copy separately if applying electronically ❑ No <br /> Has a cultural resource pedestrian survey been conducted for the site? <br /> ❑ Yes, Report attached or mail copy separately if applying electronically ❑ No <br /> Has another federal agency been designated the lead federal agency for Section 106 consultation? <br /> ❑ Yes, Designation letter/email attached or mail copy separately if applying electronically ® No <br /> Has Section 106 consultation been initiated by another federal agency? <br /> ❑ Yes, Initiation letter attached (or mail copy separately if applying electronically) ❑ No <br /> Has a Section 106 MOA or PA been signed by another federal agency and the SHPO? <br /> ❑ Yes, Attached (or mail copy separately if applying electronically) ❑ No <br /> If yes, list date MOA or PA was signed m/d/ <br /> Page 7 of 10 <br /> Revised March 21,2012. For the most recent version of this form,visit your Corps District's Regulatory website. <br />