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,,, <br />~:• ~ _ <br />. MINED LAND WILDLIFE QUESTIONAIRE <br />for limited impact and select regular mine applications <br />1. Name of Company/Mine: PHIL SHERIDAN MINING COMPANY <br />2. Name/Address/Phone of Contact Person:HARRY COVEY, COUNTY ROAD 83 #979 <br />BOULDER, COLORADO 80302 442=0657 <br />3. Locatior~of Mine: Boulder 1NR71W Sec 8 SW4 NWg <br />(Count}, Township, Range, Section to nearest quarter quarter; Exhibit A-MLR appl.) <br />4. Nearest Town/General Location: GOL_D_ HILL (3 Mi. East). <br />5. Land Ownership (Circle) 1. Private 2. BLM 3: USFS 4. Other <br />6. Present Land Use: Residential (.Mining Claims Patented 1874) <br />7. Proposed Final Land Use: Residential/ Mining <br />8. Type of Operation: 1. Surface 2. Underground i <br />9. Minerals being mined: Au, Ag <br />10. Number and Description of Surface Acres Disturbed by Mining/not including roads <br />(Exhibit D-MLR): Less than one acre.- <br />11. Miles of roads to be constructed: Existing roads will be utilized. <br />12. Life of 1Kine (years): **-10 Years. <br />13. Descript:on of Operation and Reclamation -- Additional sheets may be attached <br />(Exhibits B S E-MLR)-_. _ - ---_-.--- -.-.-- <br />CIPRRATTf~AT WTTT RF D T(]W DA(IFTTF rrtlDEFf'F~LINB 91?13F 71'£T9~1 WI'£I! <br />.MINIMAL SURFACE DISTURBANCE ON A PREVIOUSLY DISTURBED (1872-1940) site. <br />Reclamation will be accomplished as recommended by the Soil <br />Conservation Service (recommendations pending.) <br />14. :Please enclose Maps of Project Operation, Disturbance Areas and Reclamation (Exhibit <br />C.) This will expedite processing. Your cooperation is appreciated. <br />15, Prepared i5y:_ - Gi2~~~~/I Date: 7 ~y~~~ <br />