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. ~ <br />HINED LAND WILDLIFE STATEMENT/EVALUATION (Revised) <br />for limited impact and select regular mine applications <br />The following information pertaining to wildlife is provided for use by Mined land <br />Reclamation Board in their consideration of a mining permit for: <br />Name/Type and Location of Mine Legal) <br />Wildlife Species list: '~c ~/ ~( <br />_) ~n a a ~ b ~ ~e s 1, ~ o ~„~.~,,, ,/-r,~ <br />_ L <br />Endangered/~tical species/impacted: Lt~l;--~.., u.,~L~ ,%~oH,(,/.~,~~ ,Q/4e`,,.~ <br />Critical habitats/vegetative communities impacted: Oo k ;--~ 5C, _ 5 ~ _ c <br />r <br /> <br />Assessment of impact: Cl.d;.;r~., ~" , !-.~.~ ~~; `~~yu r_. , c;ry~ ~!yr l,,,, <br />~'J PL1cO <br />Hine Reclamation recommendations (include key species/habitats for which restoration <br />is designed). <br />r~ ors ~~~ ~ 'tiY•_l,{~ ~/,,~ C=,.,, sc-~6,~ <br />i <br />L i ,, <br /> <br />Prepared By <br />/ ~ i <br />!-' /~C7 <br />Submitted By: /~~,~. _~ ~C~,' <br />This statement is void if-not processed within 1 year. <br />This analysis does noc conecitute approval of application <br /> <br />Date: 1 <br />~ ~' <br />%k-~c <br />~ ~ <br />Date; l ~ ,~'~c-c <br />A~~ ~ ~ f <br />