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5. Describe proposed surface excavation or other land disturbance, including roads, pits, <br /> trenches, waste piles, drill pads and collar areas of underground workings, ponds, etc. <br /> ONE TRAC HOE WILL DIG A 6X6 FOOT HOLE 25 ' DEEP. A 5 ' CULVERT <br /> WILL BE PLACED INSIDE THE HOLE AND THEN BACK—FILLED. 16 CU. YDS. <br /> WILL REMAIN ON THE SURFACE AND PLACED NEXT TO THE SHAFT. A BERM <br /> WILL ALSO BE CONSTRUCTED TO CONTAIN ANY RUNOFF. (SEE ENCLOSED DIAGRAM) <br /> AT NO TIME WILL THE HOLE BE LEFT OPEN. <br /> 6. Proposed Disturbance (approximate) Describe the proposed drilling to be conducted, <br /> including anticipated number of holes, diameter, depth, location, etc. Submit additional <br /> pages if necessary: N/A <br /> A. Drill Pads: <br /> Average Average <br /> Quantity Width (ft) Length (ft) <br /> B. Drill Holes: <br /> Diameter <br /> Quantity Depth (ft) (in) <br /> C. Mud Pits <br /> Average Average Average <br /> Quantity Width (ft) Length (ft) Depth (ft) <br /> D. Described proposed underground work, including reopening of old workings, <br /> advancement of adits or shafts, trenches, pits, cuts, rock dumps, or other types of <br /> disturbance, describe type, quantity and general dimensions: <br /> A 6X6 FOOT HOLE WILL BE DUG 25 " DEEP AND A 5 ' CULVERT INSERTED INTO <br /> THE HOLE. IT WILL THEN BE BACK—FILLED ( 34 CU. YDS OF MATERIAL <br /> WILL BE INITIALLY REMOVED AND THEN BACK—FILLED WITH 18 CU. YDS OF <br /> MATERIAL. 16 CU. YDS. OF MATERIAL WILL REMAIN ON THE SURFACE) <br /> THE SURFACE AREA IMPACTED IS APPROXIMATELY 135 SQ. FT. A 2 ' BERM <br /> WILL BE PLACED NEXT TO THE 16 CU. YD. HOLE. ( SEE ENCLOSED DIAGRAM) <br /> Form 2—Public File Page 6 of 14 <br />