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~ ~ i <br />MINED LAND IdILDLIFE QUESTIONAIRE <br />for limited impact and select regular mine applications <br /> <br /> <br />1. Name of Company/Mine:_ Ed Loloff Const.. Inc. <br />2. Name/Address/Phone of Contact Person:_Tom Caldwell. Nelson Enoineers, Greeley National <br />Plaza, 822 Seventh Street, Suite 520, Greeley, Colorado 80631, 3566362 <br />3. Location of Mine: See Exhibit A - Plan Sheet 1 <br />(County, Township, Range, Section to nearest quarter quarter; Exhibit A-iiLR appl.) <br />4. Nearest Town/General Location: 1.5 miles east of Greeley <br />5. Land Ownership (Circle) 1. (Private) 2. BLPi 3. USFS 4. Other <br />6. Freseut Laud Use: Vacant - unused <br />7. Proposed Final Land Use: Sand/gravel open pit mine <br />8. Type of Operation: 1. (Surface 2. Underground <br />9. Minerals being mined: Sand <br />10. Number and Description of Surface Acres Disturbed by Mining/not including roads <br />(Exhibit D-MLR): 55 ± Acres <br />11. Miles of roads to be constructed: Approximately 200' within proper <br />12. Life of Mine (years): Approximately 44 years <br />13. Description of Operation and Reclamation -- Additional sheets may b~ attached <br />(Exhibits B b E-MLR) <br />See attachments <br />14. Please enclose Maps of Project Operation, Disturbance Areas and Recl(mation (Exhibit <br />G.) This will expedite processing. Your cooperation is appreciated <br />15, Prepared by :/ ,~,1~~~~ Date• S z/ Pv~ <br />~/'y C.'AL771~JE/ / n,,,,, ~ ,.c o <br />