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~~ <br />MINED LAND WILDLIFE QUESTIONAIRE• III III'll'IIIIIIIII <br />for limited i''mp//act an//d select regular mine ap/plic~___.._ 999 <br />1. Name of Company/Mine:__/yy /chci' ~cyq~-//cePgKr .LAC <br />2. Name/Address/Phone of Co/n tact Person: ~/oN d~ ~ o )C J /'. <br />Gcisc~^o/ ~c~/uci-v_ ~,i'.O/Q~r w Pb 3cT-$:G-zv7. <br />3. Location of Mine: T 9~/0 3~ 2.j7Gt),r Sccs, Z~?i qr 39f- <br />(County, Township, Range, Section to nearest quarter quarter; Exhibit A-h1LR appl.) <br />4. Nearest Town/General Location :_ ~ii-~~•t~ v •+c ~.~~c /~~E; e { s,/~ <br />-~r-~ _ <br />5. Land Ownership (Circle) 1. Private 2. BLM 3; USFS 4. Other <br />6. Present Land Use: ~~yg^fc <br />7. Proposed Final Land Use: Yc~c%o ~sc-~ <br />-7 <br />8. Type of Operation: l.~urface 2. Undo//rground <br />9. Minerals being mined: ~~~v C cr-- Y'o. ~--+~.r <br />10. Number and Description o:F Surface Acres Disturbed by Mining/not including roads <br />(Exhibit D-MLR): <br />11. Miles of roads to be con;;tructed: <br />12. Life of Mine (years): / O <br />13. Description of Operation and Reclamation -- Additional sheets may be attached <br />(Exhibits B 6 E-MLR)_ <br />/ - --- <br />14. Please enclose P1aps of Project Operation, Disturbance Areas and Reclamation (Exhibit <br />C.) This will expediCe processing. Your cooperation is appreciated. <br />15, Prepared bye %~.+ ,.U~y..~' Date: /^^~Ur~~~ S l~8~ <br />lllll~~`~"~~~~~~~ -~ <br />