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. MIN LAND WILDLIFE QUESTIONNA7~ <br />for limited impact and select regular mine applications <br />1. Name of Company/Mine: biid-iUV,tevz Fcyu„6 Rehounrv,~ <br />2. Name/Address/Phone of Contact Person:Bnh Van Dap, 7u,t11'o g~Dn~nfn~Inc <br />11990 Gna,zt Stzee,t Su,c,te 410 Denver CU k0233 (3031 459-~i71 <br />3. Location of Mine: Fnowez~ Count,1, 7awitiskip 23 Sacith. RancUe~ 4Z S43 (Ueb.t. Sectia~tis ~ = <br />(County, Township, Range, Section to nearest quarter quarter; 17, <br />Exhibit A-MLR appl.) <br />4, Nearest Town/General Location: Appxax. 1'z rsi2e Sautlvuehti a~ HaZeu~,, Coco%~ada <br />5. Land Ownership (Circle) <br />6, Present Land Use: ~~'aT'~ <br />7, Proposed Final Land Use <br />S. Type of Operation: 1.~ <br />2.BLM 3.USF5 4.Other <br />2. Underground <br />9. Minerals being mined: Sand and Gnave2 ay~neoato 95° art,~arlannT 93~ c~-+tJ.c 2esdc.'.._ <br />10. Number and Description of Surface AcresVDisturbed by Mining/not <br />including roads (Exhibit D-MLR): Ideo mnnli=rluF,it 1- Z c 3 <br />11. Miles of roads to be constructed; tiia <br />12. Life of Mine (years) : 30 .to 40 uear/~ <br />13. Description of Operation and Reclamation--Additional sheets may be <br />attached {Exhibits B & E-MLR): <br />a <br />~2-~7II.~.C.t~j'/hgG4ga~6611CL~ E648b _ <br />].4. Please enclose Maps of Project Operation, Disturbance Areas and <br />Reclamation (Exhibit C.) This will expedite processing. Your <br />cooperation is app ciated. <br />lei. Prepared by: Date: ~ 23' ~~ <br />t3ob Van Dap, Tut.C,Qe Appfeyatie, Inc. <br />nd a-.w <br />'y~i3-17I <br />