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~! ~} rTAcrfMc~vT ~ F" <br />ALINED LAND WILDLIFE QUESTIONAIRE <br />for limited impact and select regular mine applications <br />1 . :lame of Company/Mine: ~ ~ u c Pr r - Z EM ~ o ~ k ~ 5'o,v / I'N c <br />2. P7ame/Address/Phone of Contact Person:~~eoM~ (i«n~(d~ Co,u s~wT/Nh <br />-EnJ (-~i,.r ~'~C~ P. 0. r3oX iUy'b~(7 LCN wOOb 5~'2riu45 y~o S/CioZ -9u~-'g7'f9 <br />f, si.Rv. ~-o ca ~.., ry <br />3. ].o cation of Mine: s/Z 5/tscczs,N,4N/SR 3c r ~ s z ssw G Pin (SeEExH/$1T O~c~ <br />(Count•~, Township, Range, Section to nearest quarter quarter; Exhibit A-AILR appl.) <br />a. Nearest Town/General Location: (i Mr[.ES EasT NoZr/i e^.-sr of C.~,e3o,~ oti-c-z <br />5. Land Oariership (Circle) 1. rivat 2. BLM 3, USFS 4. Other <br />G. Present Land Use: Fn- KrH/w9 <br />7. Proposed Final Land Use : F ~ rz ~t i N ~J <br />8. Type of Operation: 1. urface 2. Underground <br />9. Minerals being mined: Sr~-N n ~ E~ ~~~'z- <br />.0 <br />Nwnber and Description of Surface Acres Disturbed by Mining/not including roads <br />(F.X171biC D-MLR): 9(o Rc.,uS 5~ DzSc uoYre.r~n-•+o /r2CvrS Ez rt,3 /T~ Two;Tr//ac <br />Miles of roads [o be constructed:l•~ ~uctuo~~vr,TE..,POC~-, L R~w~"~»e~'~-N~~ <br />?. Life of Mine (years): PKoSZCito 3 <br />3. Description of Operation and Reclamation -- Additional sheets may be attached <br />(Exliibi.ts B S E-MLR) <br />r <br />S ~C-C P~nn/S .4.yp D=Sc~~PT/ONS L=~C/f/r3/T'S Tc,vo <br />H~ <br />Please enclose Maps of Project Operation, Disturbance Areas and Reclamation (Exhibit <br />C.) Phis will expedite processin.g., Your cooperation is appreciated. <br />Pr,•pared bY~~~K-oMC f' ~iF{'L+/3 .9- Date: ~-2s-~oJ <br />