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WILDELIFE QUESTIONNAIRE STATE OF COLORADO DOW <br />• for limited impact and select regular mine applications <br />1. Name Of COmpany/Mine: SEIFERT CONSTRUCTION/ ULA PIT M-1991-083 <br />2. Name/Address/Phone ofContact Person: dOF (:AGLIANO (CONSULTANT). LJ DEVELOPMENT. INC. <br />169 TIFFANY CT., PUEBLO, CO 81005 PHONE: 719-240-9424 FAX: 71}683-0788 <br />3. <br />(County, Township, Range, Section to nearest quarter quarter ;Exhibit A-MLRB appl.) <br />4.. Nearest TOwnlGeneral LOCation: WESTCLIFFE CO 81262 <br />5. Lend Ownership (circle)t .Private 2. BLM 3. USFS 4. Other <br />6. Present Land Use• RANGELAND <br />7. Proposed Final (,sad Use: RANGELAND <br />8. Type of Operation: 1. Surface 2. Underground <br />9. Minerals being mined: SAND & GRAVEL AND CONSTRUCTION AGGREGATES <br />10. Number and Description of Surface AcresDisturbed by Minieg/not including roads <br />(Exhibit D-MLRB): 20 ACRES MAXIMUM AT ANY ONE INSTANCE. <br />RECLAMATION WILL BE CONCURRENT WITH MINING. <br />• 11. Miles of roads to be constructed: LESS THAN 1J4 MILE <br />12. Life of Mine (years): So-so YEARS <br />13. Description of:Opention'and Reclamation-Additional sheets maybe Attached <br />(Exhibits B & E - MLRBl <br />SEE EXHIBIT "E" RECLAMATION PLAN ATTACHED <br />MAPS INCLUDED A6 FOLLOWS: INDEX MAP; PRE-MINIG 60ILSJVEGETATION MAP; MININGMAP; <br />& RECLAMATION :ATTACHED <br />14. Please enclose Maps of Project Operation, Disturbance Areas and Reclamation (Exhibit C.) <br />This will expedite processing. Your cooperation is appreciated. , <br />15. Prepared by - Date: ~ y <br />• <br />