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Wildlife Information <br />APPLICANT'S QUESTIONNAIRE (Continued) <br />30 miles <br />6. Miles and direction from nearest town: from Craig,(CO) North on Colo <br />#13, left on CR~4 for 30 miles sou approx. m>. es. <br />7. Existing vegetation and land use: Rangeland (Sagebrmsh) <br />8. Proposed final land use: Rangeland <br />9. Substance(s) to be mined (e.g. sand Sand & Gravel <br />,gravel, gold)• <br />10. Type of mining operation (circle): a. ~zf b. ~dityii~C <br />11. Depth of excavation: 20' and distance to nearest surface water flow: Unknown <br />12. Total # of acres to be permitted: 40 <br />13. Total tY of acres to be disturbed: 30 <br />14. Miles of road to be constructed: Local Roads on site = 1/2 mile <br />15. Life of mine (years): 10 years <br />16. During which months do you anticipate active operation:Approx <br />2 mo./yr <br />17. Will completed mine contain ponded water? (Possible~res no <br />18. Prepared by: Marvin Moore (Consultant) Date: Oct. 30, 2004 <br />Title: (Consultant <br />Revised 2/89 ^ Complete items 1, 2, and 3. Also complete <br />item 4 FF Restricted DelMery is desired. <br />~ Print your name and address on the reverse <br />so that we cen return the card to you. <br />^ Attach this card to the back otthe mailpiece, <br />or on the front'rf space permits. <br />1. AroGeAddressetlto: <br />1~. lJ, o~- wir ~Qtl 1=~=- <br />~ ~ 1 ~ a~~~.,p;L~~ r~ <br />~'tS~~ <br />2 Ankle Numt»r <br /> <br /> ^ AdCressee <br />Bt~,~ ' i~r~i r~°~" <br />D. Is deiiverY address dmerem fnxn roam t1' u Yes <br />N YES. enter delivery address below: ^ No <br />3. Type <br />Mail ^ Express Mail <br />^ Registered ^ ReNm Receipt for Merchandise <br />^ insured Marl ^ C.O.O. <br />a. Restricted oeiwary~ (Exaa reel q Yes <br />7D03 168D 0001 7778 561 <br />PS Form 3811, February 21104 Domestic Return Receipt 7oz5es~oz~ra-f5a <br />-u- ~ rt - Page <br />