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~;" <br />1. Name of Company/trine: North <br />2. Name/Address/Phone of Contact Person: Fnyironmantal al+Pr„a+;ves <br />Angela Bellantoni 410 Macon Aga It n~City, A1719 <br />719-275-8951 <br />3. Location of Mine:F'remont,,, m~qG~ R~r 1/4 <br />(County, Township, ltange,,Sectxon & Quarter-Sect on) <br />4. A*earest Town/General Location: Florence, CO is 2 miles East <br />5. Laced Ownership(Circle) rivate 2.BLM 3.USFS 4.SLB <br />S.Ot nr _ <br />6. Present Land aces: Grazi <br />7. Proposed Final Land Use:. Grazing _ <br />B. Type of Operation: i.surface 2.Undergrouad X <br />9. Minerals Being Mined: <br />Coal <br />10. Number and Description of Surface Acres Disturbed by Mining <br />(Not including roads): Exploratory surface drilling. <br />il. Miles of roads to be constructed: 1500 'feet- all temporary <br />1Z. Life of Mine (years): 1 year to drill and rPnla;m <br />;13. Description oi.Operation and Reclamat: <br />Abe attached); <br />Please refer to attached documents. <br />ma~ <br />• MINBD LAND 9PILDLIFB QIISSTIONR~ <br />Fos Limited Impact and select Regular Mine Applications <br />14. Please enclose Maps of Project Operation Disturbance Areas and <br />Reclamation. This will expedite processing. <br />15. Prepared by: Angela Bellantoni Date: February 22, 2005 <br />Page 1 of 2. <br />