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• <br />WILDLIFE STATEMENT FOR MINE PERMIT APPLICATION <br />1. Mine Company <br />~ ~' <br />/ ~.. 4 . e ,~- i <br />2. Mine type and location <br />~~~~~~ <br />is ~.<-~ ~.~ ~~ Cv~ ti., ~c ~,l~ ~n-~.~ <br />3. Duration of operation <br />4. Total area disturbed <br />,3 Aces <br />5. Wildlife species list <br />~/a .~ z <br />6. Endangered species impacted <br />/~/o i7 ~C <br />7. Assessment of mining impact on wildlife <br />/I /cr, ~ <br /> <br />8. Proposed mitigation measures, including reclamation for <br />wildlife habitat. <br />Prepared by~7/rte /e~-r~~~ Title ~~/, ~ ~. <br />Date j - /'~ - 7 r~ <br />~. rh ~ .dSR'. <br />