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MINED LAND WILDLIFE QUESTIONAIRE <br />for limited impact and select regular mine applications <br />1. Name of Company/Pfine:~cholson Gravel Pit <br />2. Name/Address/Phone of Contact Person: Bob Brodin - Zoyiopoulos b Associates, Inc. <br />1M t L9nA CYraat F•~anc col orado 80620-2997 (303)352-6000 <br />3. Location of ;line: Morgan County see attached Exhibit A <br />(County, Township, Range, Section to nearest quarter quarter; Exhibit A-SLR apol.) <br />4. Nearest Town/General Location: Mine is aoproximately 3 miles northwest of the town of <br />Messex, Colorado which thwestern Washington County. <br />5. Land Ownership (Circle) 1. Private 2. BLt•i 3. USFS 4. Other <br />6. Present Land Use:_~grirnlrnra - graze laid <br />7. Proposed Final Land Use: A¢riculture - graze land <br />8. Type of Operation: Surf ca a 2. Underground <br />9. Minerals being mined: gravel _ <br />10. Number and Description of Surface Acres Disturbed by Mining/not Including roads <br />(Exhibit D-Dff.R): 9.6 acres <br />11. Miles of roads to be constructed: 0.13 mile access road <br />12. Life of Mine (years): one year <br />13. Description of Operation and Reclamation -- Additional sheets may be attached <br />(Exhibits H b E-MLR) <br />see attached Exhibits B & E <br />14. Please enclose Maps of Project Operation, Disturbance Areas and Reclamation (Exhibit <br />C.) This will expedite proceessing. Your cooperation is app`r/eciated. <br />15, Prepared by: ,~(J~'~,~jy~A,~ - ~11lx~cu~n~s~nS$ Date: y /~~$~, <br />ASVIf , , Tnc . ~-1 <br />