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<br />For Limited Impact Operations III 1II i c <br />(Permit 110-1 and 110-2 ) or sss \41~ERAL. ~ ., <br />Regular Operations (Permit 112) ,~J _ ~ / - / ~ ~ f <br />Instructions to the Applicant: Sutmit this Wildlife Statement to MLRD as part of the <br />MLRD app ica ton. <br />!-tit `" i `~' <br />~_ <br />• APPENDIX B. • ~~V 1 $ 992 <br />MINED LAND WILDLIF'I"I""''I' ~I, J~ ~ <br />Instructions to DOW District Wildlife Manager: Review the attached Applicant's <br />Questionnaire, comp ete this form, an send of ack to the Regional Office. <br />Instructions to DOW Regional Staff: Send completed copies of both the Applicant's <br />Questiomaire and Wildlife Statement along with pertinent correspondence to the <br />applicant, MLRD, and DWM. <br />The following information pertaining to wildlife is provided for use by the Mined Land <br />Reclamation Board in its consideration of a mining permit for: <br />1. Name and type of mine: l,~rmr~v;c~ dl.~ue Valdez ~3wJf r gra,.eA <br />2. Location of mine: So..,T1, ~i• Art~n,~ <br />3. List threatened or endangered species (federal or state) and other species of <br />special concern present: aD u E KhUw ,~ <br />4. Assess expected impacts to fish and wildlife populations and habitat from project: <br />3~,..c cQo ~l o w+-~ ~ St-e ~(o, <br />(OVER) <br />-12- <br />t <br />