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<br />Ff1~ED 1~ IJILDLIFE STATE?fE~T/F,VALUATI(~Rcvised) <br />' for limited imnacc and select regular mine applicatio s <br />11ie follo~~ing information pertaining to Wildlife is provided Eor use b Nined Land <br />Reclamation Roard in their consideration of a mining permit for: <br />Nfldlife Species list: <br />/)~E <br />Endangered/critical species/impacted: <br />~~~~ <br />Critical habitats/vegetative communities impacted: <br />/t/ON r <br />Ass~ss:;.ent of i~naer: <br />NoNC <br />Mine Reclamation recorrendations (include key species/habitats for vh <br />is deigned). <br />l'c~551~.~iLl CILUCLc~ryiLN/~ ~, jL S~~gLL yisyC't/ <br />~, ~- •~ <br />2 <br />~p ~~ ~u <br />~ ~.~d~~ro,~ .~, <br />~. <br />"rep~red 6y:~@S/.P~G7 ~-C~-!_~0~~~ ~. ,~. •Lm. /(~'' ~4C«e.~ Date: <br />.:-•itted By:~f /ii.~L'_/' _, ~-.. 2./l7. ~.G~~ Date; <br />_~ <br />restoration <br />Ems. <br />iii: st.9tr-.r .t is void if not processed vithYn 1 year. <br />R~i:~ :~.n,~l~:sir; does no[.cousr.itute approval of application. <br />