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.. ~-1 -MI~ LAND WILDLIFE QUESTIUTAIRE • <br />for limited impact and select regular mine applications <br />1. Name of Company/Mine: Colorado puarries, Inc. Black Obsidian <br />2. Name/Address/Phone of Contact Person: Bill Tezak P.O. Box 1389 Canon City, CO 81212 <br />303) 275-6694 <br />3. Location of Mine: Custer T2~2 S, R72 W, 6P.M. Sec 16 SEA of the NW4 <br />(County, Township, Range, Section to nearest quarter quarter; Exhibit A-PEER appl.) <br />4. Nearest Town/General Location: Ouarry is 1 (One) mile North Silvercliffe, c0 <br />5. Land Oi.•nership (Circle) 10 Private 2. BLM 3. USFS 4. Other <br />6. Present Land Use: Rangeland <br />7. Proposed Final Land Use: Rangeland <br />8. Type of Operation: ~ Surface 2. Underground . <br />9. ?finerals being mined: Black Obsidian <br />10. Nur:ber and Description of Surface Acres Disturbed by Mining/not including roads <br />(Exhibit D-?II.R): 9 acres <br />I1. Miles of roads to be constructed: None <br />]2. Life of ?tine (years): 20 years plus <br />13. Description of Operation and Reclamation -- Additional sheets nay be attached <br />(Exhibits B 6 E-?fLR) <br />14. Please enclose Maps of Project Operation, Disturbance Areas and Reclamation (E>:hibit <br />C.) This will expedite procejssing. Your cooperation is ap/np~reciated. <br />15, Prepared by~~j~ Dale: of <br />/ Pacr 1 of ? <br />