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<br /> <br /> <br />1 <br />EXHIBIT H <br />HINED LAND WILDLIFE QUESTIONNAIRE <br />for limited impact and select regular mine applications <br />1 1. Name of Company/Hine:C & M Companies; Distel Farm <br /> 2. Name/AddresslPhone of Contact Person: Bob Allen: 7916 Niwot Road <br />' P_0. Box 490: Niwot, Colorado 80544: 443-1099 <br /> 3. Location of Hine: See attached Exhibit A & Exhibit B <br /> (County, Township, Range, Section to nearest quarter quarter; <br />' Exhibit A-HLR app).) <br />' 4. Nearest Town/General Location: Longmont - 2 miles west of site <br />~-~ <br /> 5. Land Ownership (Circle)C1.Private,2.BLH 3.USFS 4.Other <br />' 6. Present Land Use, Agricultural <br /> 7. Proposed Final Land Use,Aaricultural <br /> <br />8. ~. <br />Type of Operation, 1 Surface 2. Underground <br /> 9. Hinerals being mined, Gravel and Sand <br />' <br /> 10. Number and Description of Surface Acres Disturbed by Hining/not <br /> including roads (Exhibit D-HLR),95 Acres disturbed (78.6 Acres <br /> mine3, 16.4 Acres haul, stockaile, plant) <br /> 11. Hiles of roads to be constructed,)/2 mile <br />' 12. Life of Hine (years), 10 years <br /> 13. Description of Operation and Reclamation--Additional sheets may be <br /> attached (Exhibits B & E-HLR), Mining to begin in Phase I (NE corner <br /> Site). Topsoil will be stockpiled in setback area. Overburden will <br /> <br /> <br /> <br /> <br /> <br />next phase. <br />14. Please enclose Haps of Project Operation, Disturbance Areas and <br />Reclamation (Exhibit C.) This will expedite processing. Your <br />cooperation is appreciated. /~ <br />15. Prepared by, ti Date, Z"'! '~ <br />After one phase is finished being mined, that phase will have <br />