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`~•, • MINED LAND WILDLIFE QUESTIONA2CE <br />for limited impact and select regular mine applications <br />1. Name of Company/Ptine: Washineton County--Fassler Gravel Pit <br />2. Name/Address/Phone of Contact Person: W, B, Paynter, 117 Clain, Box A, Akron, CO 80720 <br />3. Location of Mine: wachingrnn County NE`-t 515, T2N R53W <br />(County, Township, Range, Section to nearest quarter quarter; Exhibit A-::LR appl.) <br />4. Nearest Town/General Loca^^tion: 1 ilile S & 4~I4iles W, if Akron on Cnty Rd 40 and Y <br />5. Land Ownership (Circle)(1., Private 2. BLP1 3. USFS 4. Other <br />6. Present Land Use: Pasture Land <br />7. Proposed Final Land Use: Pasture Land <br />8. Type of Operation: 1. Surface 2. Underground <br />9. Minerals being mined: Sand and Gravel <br />10. Number and Description of Surface Acres Disturbed by Mining/not including roads <br />(Exhibit D-PII.R): <br />11. Miles of roads to be constructed• 9,135.19 Sq,Ft..210 acres 767.95 Ft. of Road <br />12. Life of Atine (years): <br />13. Description of Operation and Reclamation -- Additional sheets may be attached <br />(Exhibits B S E-~Q,R) <br />See copy of Plined Land Reclamation~Application attached <br />14. Please enclose Maps of Project Operation, Disturbance Areas and Reclamation (Exhibit <br />C.) This will expedit pr essing. Your cooperation is appreciated. <br />/jlj~'~ ~,. i <br />15, Prepared by: tl/~ B~ 8a~~iier Date: 2/ 22/gR <br />__ -~ ~ ~ "'~ "'~ Page 1 of 2 <br />