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4. <br />6. <br />9. <br />10. <br />11. <br />12. <br />13. <br />{5, <br /> ./ . <br />M16ED LA1;D h'TLDLIFE QUt:STIO'dAIAE <br />for limited impact and select regular ,nine a}~plication <br />i:ame of Company/?fine:~L~.~~~-~l~--ilY-~ ~y~C~[~~'• ~ j~ ~L! <br />1:ame/Address/Phone of Contact Person:~J ~ ~ -~'~~~,~~( _ <br /> <br />-.~Yll /~~sf~+ ~ ( ~'~Z~ ~ <br />Location of Mine: G ~L~w ~Z • gW_• ~~~. {~ <br />r <br />. (County, Township, Range, Section to nearest quarter quarter, fix.hi it a-MLR appl.) <br />:`:earest Town/General Location:_~~ m ___ ____ <br />Land G~nership (Circle) 1 Private 2. BL?f 3. USFS 4. Ot}ier __ <br />Present Land Use:_1/,t,~y'~_~A14~ -_ ____ ____ _ _ <br />__ _ <br />Proposed Final Land Use: ~~~~ CD/tt ,~ S_/'fR ~ ~~~ <br />Type of Operation: Surfac 2. Underground <br />Minerals being mined: '~~~~ ~ _-_ <br />__ ___ -_._ <br />of Surface Acres Disturbed by Mining/not inc <br />t:utw er and Description uding roads <br />p <br />(Exhibit D-?ff.R) :_ 7___ ----- ------°----- -.-- <br />Miles of roads to be constructed:_1~_~~~`uQ <br />""~- <br />Life of !tine (years) :~(~ <br />~ ~ _ <br />_ <br />_ _ .. _ _ . ___ <br />Description of Operation and Reclamation -- Additional sheets may b attac}sed <br />S E-?fLR) <br />(Ex <br />hi <br />bits <br />B <br />' <br />r <br />' <br />/ <br />~4.4~~ir.~~1V~_ ~~~ ~---~-V to.J~~-f~l~_ -~ ~ -~.[~1~ <br /> <br /> <br />A ~~ 1 ~(I ~~~._~~_5~~~ ~NL> <br /> <br /> <br />~ -,~ -~ '' ~~~ N1~_ ~~#T_I~l - ~ ~ <br /> <br />J~~ ~'C~ i Z~ i y 12~'C ~T~~t~~ <br />±I A iTA~ <br />----- - --- <br />Please enclose Maps of Project Operation, Disturbance Areas and Rec ----- <br />ama[ion (Exhibit <br />reciate <br />C.) This will expedite processing. ]our cooperation is app . <br />~7 <br />Prepared b~~~ ~ ~~ ~"~ /j __ Dare ..~ Z-~ <br />tel ~- _-___- <br />. <br />I <br />~ /~cl -~ f ~Ctl <br />~I ~ ~' <br />l1~ Pane 1 of 2 <br />~ <br />, <br />C -~~ <br /> <br /> <br />