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• <br />• • <br />EXHIBI'T' D <br />MII~ ~IU~D PERIrIIT APPLICANT'S QUESTIONNAIRE <br />1. Name of Canpany: Dick Casey Concrete. Inc. <br />2. Name of Contact Person • D; ck C a a e y <br />3. Phone Numl~.r: <br />4. NHi.ling Address: P. O. Box 1815. Rifle. Colorado 81650 <br />5. Name of Mine: Dick Casey Concrete, Inc, <br />6. Location of Mine: See Exhibi+ "A" <br />Township, Range, Section and Quarter Section <br />7. land Ownership: (Circle) 1. Private 2. BIM 3. Forest Service <br />4. Other (Specify) <br />8. Type of Operation: (Circle) . 1 Surface 2. Underground <br />9. Number of surface acres disturbed by m;n;nq operation, (not including roads). <br /> <br />I0. Miles of roads wnstructed, or to be constructed, associated with mine <br />operation (includi.ng explozatory roads). Agnrn,c;ma+ely _ 75 miles <br />11. ApproxiTnate numUer of years mine will be in operation: <br />12. Brief description of operation and reclamation plans: See Exhibi* B &Exhibi* <br />E~ Wa nlan +n fnllnw c~r~ea+;nnc• ~ c ou+lined in exhibi+ (E1 Qresen+ed by +he <br />Soil Con se rva+ion Service. (Specifically Sperif;rG fnr fhia c;fa) fnr rncla ma+inn~ <br />unless you have any additions or rugger+ions +o +his plan. <br />13. Please enclose a mpy of a map showing the project disturbance areas, and <br />additional information on the operation, if the material is available. This <br />will help the DOW expedite processing a wildlife statement for your MLR <br />application. Insufficient information on project location and plans often <br />results in a delay in pmviding a sta'~t. Your cooperation is appr iec aced. ~ <br />See Exhibi+s: C page 1 & 2 Ma' (Maps), :Exhibi+ B' (Mining Plan) Exhibi D _ <br />(Wildlife Informa*ion) :Exhibit E (S. C. S,` Inventory & Evalua+ion) Exhibit F <br />(Proof of Local Governmen+ Approval). Exhibi+ G (Source of Legal righ+ +o en+er) <br />7.21.78 <br /> <br />