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2. <br />4. <br />5. <br />8. <br />4. <br />10. <br />77. <br />12. <br />13: <br />14. <br />i5 <br />.~ <br />h1ItJED LAND b;ILDLIFE OUESTIO~:I;AIRE <br />For Limited Impact and Select Regular t•line Applications <br />Name of Company/Mine: Se~N ~, v- ~lg,-, I~ sc(t,.a~ <br /> <br />~ <br />Name/Address/Phone of Contact Person: ~ r L 70 ~o `/ ~ <br />~rRuc~ ~ktic.~eowr Cu ~ ~/.»t '~-YL- N`/'v3 <br />Location of Kline: ? T 3 ? loov~ - 9 /o iaµ/s- <br />(County, Township, Range, Section to nearest quarter qua rte <br />Nearest Town/General Location: 1,~~•ewr!-'~u- !~ r~,/~ xhibit A-hILR I <br />Land Ownership (Circle) i. Private 2. BLM 3. 115FS 4. 0 <br />Present Land Use: her <br />Proposed Final Land Use: <br />Type of Operation: 1. urface 2. Underground <br />Minerals being mined: rev' . d ~~. 'f~C ~o~ ~ - s:• <br />~ 5'~oNc <br />Nu~~~b2r and Description of Surface Acres Disturbed by Kilning/n <br />(Exhibit D-MLR): ~- O .~~ - (,.r~~..~ t including roads <br />Miles of Roads to be constructed: /- t%- <br />_ <br />iife of Mine (years): '7..c~ , <br />_ <br />Description of Operation and Reclamation--Additional sheets m <br />(Exhibits B & E-MLR) <br />S~ y be attached <br />w a..Ju ~ .~.~t, -s=-....~- -n <br /> <br /> <br />. ~ - i.~ _ n .. - ~ ~ ~ n,.~i ~ .~cc.~Q <br />1<~,s <br /> <br />,, t' ~ ~U ~ <br />w <br /> <br /> <br /> <br />Please enclose Flaps of Project Operation, Disburbance Areas n <br />(Exhibit C.) will expedit processing. Your cooperati n <br />Prepared by: ~~. Date: /y/g g d Reclamation <br />is appreciated. <br />3 <br /> <br />ipl.) <br />