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<br /> <br />MINED LAND 1JILDLIFE STATEMENT/EVALUATION (Revised) <br />for limited impact and select regular mine applications <br />The following information pertaining to wildlife is provided for use by Mined Land <br />Reclamation Board in their consideration of a mining permit for: <br /> <br />pe and Location of Mine <br /> <br />n ~~. ~ I I i kl ~ ~~~ <br />Wildlife Species list: <br />Endangered/critical species/impacted: <br />i'/e-,~~ <br />Critical habitats/vegetative communities impacted: y,~N ~ <br />Assess men[ of//impact: 7/1 -t/- <br />//!/~ftJ'~eeQ /"eC"l~G~la`'/cvl pizF'C /~G~S ~d~lJ/G~"/ /~i~i~L~2c S <br />,L ~c« pAGI Gc-C-V ~ct ~c- GGt'~ ~ ~ v-icf I , <br /> <br />Ptine Reclamation recoimnendations (include key species/habitats for which restoration <br />is designed). // f <br />GG /7 c wc~ rL~tFI /-e sc°fl~' li !c?c,°u (C'I r~°~~E~Jt?/Gc~ 4'r~'R <br />/ ~^f ~hL l~ ~1GIeS Lrg~G~c7 QY.~E' !E- <br />L~,L.a.~ 1-e~~.st~ ~ -~-o~,e Q ~+ra..- ~,~..lt - c.-P~~',!2 u~ ; ~P.. CS9 ~ ~ ~~ <br />1• <br />Prepared by: <br />Submitted By: , <br />This statement is oid if not processed within 1 year. <br />This anal~•sis doe not constitute approval oC application. <br />Date: p - J D <br />Date• fr_ S~8 <br />