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• r . .. ~.~ <br />APPENDIx B. <br />NINED LAND WILDLIFE STATEMENT <br />.1. ~. .' <br />For Limited Impact Operations <br />(Permit 110-1 and 110-2 ) or ,..~, <br />Regular Operations (Permit 112) ,._..~ <br />Instructions to the Applicant: Suhmit this Wildlife Statement to MLRD as part of the <br />MLRD apprica ion. <br />Instructions to DOW District Wildlife Manager: Review the attached Applicant's <br />Questionnaire, comp ete t Ls orm, an sen ob ~-back to the Regional Office. <br />Instructions to DOW Regional Staff: Send completed copies of both the Applicant's <br />Questiomaire and Wildlife Statement along with pertinent correspondence to the <br />applicant, MLRD, and DWM. <br />The following information pertaining to wildlife is provided for use by the Mined Land <br />Reclamation Board in its consideration of a mining permit for: - <br />1. Name and type of mine: ,o s P.'~' A/e. 9 Car v .r Teti ~ ~~.r ~~~.e a vev~p/ S~~se <br />2. Location of mine: p <br />3. list threatened or endangered species (fed ral or state) and other species of <br />special conce1rn present: IyCF¢q'~cd <br />Na ~rca/e..ec~ or eNC~1ai.~rerec~'/s~~c-ACS 4r1L k'aer~,H to1~°'~ <br />~y ~~C ~/i'H~G, •~~ c~C/ /V~e Bay ~a'} /Y re ~S /p/~S ~/ES rc/c"'T C[c.~aul~? rti/~ef <br />LueS ~ sT ,~J~. < /~GV'ea, TlPPr•f'ew ffti ¢~v G-r/.1-~I/2HG~4K~ °/YCFI t~~1 "~ 1S/P~C.IC 5~ <br />/fi C./4c~i'la ~/^'° `'O/YGC~O /~~'V e~- ~GGLJ f/~ S/~ ~r~C PI'CG Ck~ /lam TkY y4 y/~4 <br /> / <br />Ri uCI' 1 // <br />,6,ti / .L4Bk ~c~ 1 D <br />s<eT L y 4 7~e ~ fed. <br />4. Assess expected impac <br />ts to project: <br />and wildlife populations and habitat from <br />fish <br />rLl•"s 1 <br />u~e,~Gi7i%!N / <br />. <br />sksu/c/ ~Lcaac ~/yJ~o,~ ~~~r~av/ tall <br /> <br /> ~~ 6ER~ _~ pFFICE MGR ~ <br />-~ <br /> 16E ~- pREA6 ~ <br /> ENVIR. SEEN. ~- <br />gREp7 ~~ <br /> TERRESTRIAL ~-- <br />AREp9 ~~ <br />(DVER) ~punnc ~-- ~s ` <br />-12- <br />