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<br />MINED LAND WILDLIFE QUESTIONAIRE <br />For Limited Impact and Select Regular Mine Applications <br />1. Name of Company/Mine: OUSTER COUNTY GRAVEL PIT (M-093) <br />2. Name/Address/Phone of Contact Person:RICK PERCHBACHER (ROAD SUPV.) <br />OUSTER COUNTY ROAD & BRIDGE, PO BOX 5 5, 2 <br />3. Location of Mine: OUSTER, T23, R72W, SECT 3, NE.'-, NW~~ <br />(County, Township, Range, Section & Quarter~Sec io <br />4. Nearest Town/General Location: 6 P4ILES SOUTHEAST OF WESTCLIFFE, CO <br />5. Land Ownership(Circle) 1. Private 2. BLM 3. USFS 4. SLB <br />5. Other OUSTER COUNTY <br />6. Present Land Use: RANGELAND <br />7. Proposed Final Land Use: RANGELAND, SOLID WASTE DISPOSAL IS BEING <br />8. Type of Operation: 1. Surface 2. ~FYa19~xj~~Ya~ <br />9. Minerals Being Mined: <br />10. Number and Description of Surface Acres Disturbed by Mining <br />(Not including roads): X8.5 ACRES IN 4 - 10 ACRE PHASES, ALLVIAL <br />VALLEY LAND. <br />11. Miles of roads to be constructed:P10 PERMANENT ROAD, 4 MILE OF EXISTING <br />DIRT ROAD TO ADJAUENT LANDFILL. <br />12. Life of Mine (years): 40 YEARS <br />13. Description of Operation and Reclamation (Additional sheets may <br />be attached) <br />SEE ATTACHED SHEETS <br />14. Please enclose Maps of Project Operation, Disturbance Areas <br />and Reclamation. This will expedite processing. <br />15. Prepared by: FRANK BEEBE Date: 3/8/95 <br />Page 1 of 2. <br />