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•. ' MINED LAND WILDLIFE QUESTIOaAIRE <br />for limited impact and select regular mine applications <br />1. Name of Company/Mine: <br />2. Name/Addryy~~ess/Phone of Contact Perso^n: V <br />?77l Ye~ ( 11_.. .P~.~~e I C ~., 9ndn ~1 _/~~- <br />3. Location of Nine: fiUeV'falnA~~~~f~~ ~ oZ~ 5 ~691~/ Sec, /P_ ~1~~!/~~ <br />(County. To+.~nship, Range, Sectuion [o nearest quarter quarter; Exh/ibi .A-MLR appl.) <br />~. Nearest Town/General Location:~iaYrih2.Y' 3~ lit Ie.f GJd•4~h <br />.. Land O mership (Circle) Private 2. BLM 3. USFS 4. Other <br />... Present Land Use: I • <br />7. Proposed Final Land Use: <br />fi. Type of Operation: 1. Surface 2. Underground <br />S. Minerals being mined: G 7` S <br />:~. d:unber and Description .of Surface Acres Disturbed by Hining/not incl ding roads <br />(Exhibit D-MLR): ~ l <br />':. .Miles of roads to be constructed: ~e /2° I V h, <br />._. Life of Mine (years): d.Y,s' <br />:3. Description of Operation and Reclamation -- Additional sheets may be attached <br />(Exhibits B 6 E-T4.R) . <br />e y <br />~' ~~~~ <br />Cola D:p'. v Nateal P,?Sources <br />:_. Please enclose Maps of Projrct Operation, Disturbance Areas and Fec~a-ation (E>:hibit <br />C.) Tnis will e;:pedite process in S. Sour cooriera[ion is appreciate . <br />~ ~A ~ ~_ --- - ~--• <br />P:;..:red b~-: ! / .-yam---- D3tc' ~ -o~~ ~j - <br /> <br />