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` ~ED LAND WILDLIFE QUESTIONAIR• <br /> for limited impact and select regular mine applic ations <br /> <br />1. 1 • <br />Name of Company/Mine:_ ~~ hq t^T% ~~ P ~ <br /> <br />2. <br />Name/Address/Phone of Contact Person: ,~ / 30 S 1e ~ ~ <br />~t S n I / <br />/ <br />~ t` H Th ~ <br /> . <br />.o/a, <br /> C <br />~ <br />~ <br />J <br />} <br />' <br />` <br /> - <br />. q rry . <br />. <br />tat_v,' <br />~ <br />er <br />~4.9: 6(oS7 <br /> <br />3. ,/' <br />Location of Mine: (~ ~ SW ~~ .SC C ~ y <br />~ TY'N / <br />l~ ~ <br />~o <br /> ~ <br />(County, Township, Range, Section to nearest qua <br />ter quart <br />e <br />r; ~ <br />Ex ibit <br />A-;ILR app1.) <br />4. r <br />/ <br />~ <br />Nearest Town/General Location: '~7/ ~~') /y o ~''j/-• ~{ 'S Y` NJ~, ~^ <br />L.o~a. <br /> <br />5. Land Ownership (Circle) <br />1. Privat 2. B <br />LM 3. USFS 4. Other <br />6. r <br />n <br />Present :,and Use: K ~ JQr Pus'tur-c~ _ _,_ <br /> <br />7. •~ ~c <br />Fronosed Final Land Use:_____~j4.S~r~r)~pn c3 s `,l.J? ~ <br />;~t '' 11 1 <br />H ~'~b/ <br />8. Type of Operation: Surfa 2.~ <br />9. Minerals being mined: C, ra u ~ <br />10. Number and Descriptlon o~f Su~rfTace Acres Disturbed by Minning/not incl/udin\g roads <br />(Exhibit D-MLR):_ C.l~Le ~~~PI'Cj~-/larJ'. 7~/uPr~r-~/yre~ 1 <br />11. Miles of roads to be constructed: / [.[ n,.,:,~3~ <br />12. Life of Mine (years) <br />13. Description of Operation and Reclamation -- Additional sheets may be attached <br />(Exhiblts B 6 E-MLR) <br /> <br />14. Please enclose Maps of Project Operation, Disturbance Atcas and Reclamation (E:chibit <br />1 C.) This will expedite processing. Your cooperation is appreciated. <br />15, Prepared by: an.w Date: //- oZs - $3 <br />` ~_~ c~ <br />~. Pa•,,, I ~~ •, <br />