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.. ~ _ <br />MINED LAND WILDLIFE QUESTIONAIRE <br />for limited impac(tyand select regular mine applications <br />1. Name of Company/Mine: l~Y~Z 1'IG~QL~~~ILC71fY) J- <br />2. Name/Ad3ress/Phone of Contact Person: y-(~J~J/~ ~~nl.r ~~D~~ ~.Ll-~~"K~?!`1 ~1U11~; <br />_~~ $OZIO //I~12Z-qC~S ~~++ff nn I,' /~ <br />3. Location of Mine:~'i0c~(ZS /~r~ ~I~ ~L~ 20 r~JS R'lo~W l./ /~ <br />(Country, Township, Range, Secti(o~n~~,tLo nearest quarter quartler; Exh1ibit A-MLR appl. <br />4. Nearest Town/General Location: ( (/i /l(lf ~ ~ ~ rnIALS ~~71 <br />5. Land Ownership (Circle) 1. Private 2. BLM 3,~1USFS 4. Other n <br />6. Present Land Use:~,~l'01~" Q~_~j(~~ y7 hQ~{(j'~ -- /rQ ,Z°Q/py /~ <br />7. Proposed Final Land Use:~~/yna~ <br />8. Type of Operation: 1. urf/acl) 2. Underground <br />9. Minerals being mined: ~~ <br />10. Number :md Description of Surface Acres Disturbed by Mining not including roads <br />(Exhibit: D-MLR) : C I ~ ~,Lj ~~ ~~~~"" ~~ '' <br />11. Miles of roads to be constructed:/~/yy;Q,- ~y/~~-1~,Q/ZQ~ <br />12. Life of Mine (years): ~///(]/~S <br />13. Description of Operation and Reclamation -- Additional sheets may be attached <br />(Exhibits B b E-MLR)__. _ _ ____._ ____ _ <br />3 <br /> <br /> <br />f~ECCA!'ll~i 10x.1 : ~ AIOIe~ 8lf''1 I t/.W „1,0011.IG~ O,~rOUQI) ~' ~rrl h~fJU/y,,Nu h~QSOUrt~~~ <br />. r- 3, d¢ctfS. <br />~QCfA.yYl~'ifl~yl, ~p OCCGUL QA :24L',ti Q~tl~[, C'~/YL~ ~(lo~D,Ytn1_ cl~i, rnro <br />_~diX_lL[~~u~, maQ d t <br />14. .Please enclose Maps of Project Operation, Disturbance Areas and Reclamation (Exhibit <br />C.) This will expedite processing. Your cooperation is appreciated. <br />15, Prepared bY:_ C~'Ql1UU l'0(11Z~t' b~ '10 ~~ Date: 3-10'O~ <br />1 <br />