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• <br />• <br />MINED LAND WILDLIFE, QUN;STIONNAIRE <br />for limited impact and select regular mine applications <br />1. Name of Company/Mine:Tl~. ~ ~{us eLi N_~,pd5 j~ct~2~~ 0~ ~ E F~ C1'T <br />2. Name/Address/Phone of Contact Person: Job .C.z~~.~i.~±ra_,._.~ D ~vslooa,~ T, ~~ , <br />isg TFF_!a.ttY ei- {~4EBcy- C'o~2io~ ~~,~~E ?~v-~~1o-9~~/..zy <br />3. Location of Mine: SF1.i~i~~+_~~~.LtT-~?6Si_f~~- Ssc. 3SIc~, T~ ,2~_~Q67~ <br />(County, Township, Range, Section to nearest quarter quarter: lxhi i-~i t A-NLRB app].) <br />4.. NearestTown(GeneraiLocation:_ UI/~EtsE~(_gtJ~.Gi__~___CV__.__ <br />5. Land Ownership (circle) .Private 2. BLM 3. USES 4. Other_______ <br />6. Present Land Use:_~tq,r,4E ~:~,v1)_____ <br />7. Proposed Final Land Use:~~i~ ~N~.._.__ .. . _ _.... _._..._ <br />8. Tvpe of Operatio : 1. Surl'ac 2. IJndcrgruund <br />t <br />9. Minerals beingmined:_ 5,~,ud Z _~-~ig~~L__.___,.___.. ____ <br />10. Number and Description of Surlace Acres Diswrhed by Mining not including roads <br />(Exhibit-NLRB Map}:__~D~c.e,eS 4i _ i4~+:1 . DNS- 7~~ ~"t~ <br />11. Miles of roads to be constructed: E~c,"s f_~ ~S __"?? ~ ~fSE1~ <br />12. Life of Mine (years): ~~~2pyc , ~O_Y. ~~ <br />13. Description of Operation and Reclamation -Additional sheets may be Attached <br />(Exhibits B & E -NLRB) , ) <br />!t <br />yl!1 JU ~~_ L~Ltt~ ~ 5 ~~- r~_ ~~ __. ~.F GL.f r+~4-T%D <br />-"T <br /> <br />14. Enclosed Maps of Project Operation. Disturbance Areas and Reclamation (Exhibit C.) <br />This will expedite proe sing. Your cooperation is appn~ciated. <br />15. Prepared by __ llate: Ll Q:.t <br />c~~y <br />