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HINED LAND WILDLIFE QUESTIONAIRE %Ja~..~ --jJ~-¢~ <br />. ~ for limit impact and select resular min~pplications <br />r // RcCF!V~~ JG`! 1 p 1985 <br />1. Name of Company/Nine: G t'S S 5~ r d ~ <br />2. Name/Address/Phone of Contact Person: ~`,dbic~ ~rsS ,k'f-z /-La j-~~/ice <br />3. Location of Hine: ~~ ~~~50 1 ~, }2;~r_ ~1. Sc'~'Pia ,. ~J`~ ~ _ <br />(County, Township, Range, Section to neare1st quarter quarter;~~QQExh/pi~bi~~t Ayy-MLR appl.) <br />. Nearest Town/General Location: ~, ~~iC ~ /~ CiX,..!lI.UU~'~ _ UV~ <br />:. Land O.~nership (Circle) 1. Private 2. BLM 3. US/FS 4. Other <br />.. Present Land Use: >> c•y C' f f> ~' c~ <br />i. Proposed Finai Land Use: n<'c ~ ~~ ~- <br />_. Type of Operation: 1 Surface 2. Underground _ <br />:. Minerals being mined: .,~i 7 ~~ e'( <br />_. ':unber and Description of Surface Acres Disturbed by Mining/not including roads <br />(Exhibit D-TII.R) : ~~~ ~/ <br />.. 'files of roads to be constructed: /~~ <br />:. Life of ?tine (years): <br />_. Description of Operation and Reclamation -- Additional sheets may be attached <br />(E>:hibits B b E-MLR) . <br />! -% <br />~ /. <br />~- ~.. ~ <br /> <br />Please enclose 1'.zos of Projnc[ Operation, Disturbance Areas and R~C]a-.anon {E>:'nibit <br />C.) This 4•i]] c::acdit.c':occssinE. four coonern[ion is aprrccia[cd. <br />/y <br />~ r _ ~ -- <br />P: ~-. r: red f„~: ~ ,%~ ._ . <br />