Laserfiche WebLink
'. ~ FiINED LAND WILDLIFE QUESTIONNAIRE <br />' For Limited Impact and Select Regular Mine AppllcaCions <br />1. Name of Company/Afinc: <br />2. Name/Address/Phone of Contact Person: ~-f/.1RDi.(j ~. GLAR1- ~ ~,$')-3?Z(-- <br />~12~• y2Ll t~l)IiTSSRN1~~;iL() ~C)~'/L, <br />3. Location of Nine: <br />(County, Township, Range, Section to nearest quarter quarter; Exhibic A-D(LR appl.) <br />4. Nearest Town/General Location: ~=/ (~RTCSi4N7" <br />5. Land Ownership (Circle) 1Q Private 2. BLM 3. USFS 4. Other <br />6. Present Land Use: R <br />7. Proposed Final Land Use: ('A/`fir' C.~p/l1 <br />8. Type of Operation: 1~. Surface 2. Underground _ <br />9. Plin erals being mined: ~~) ~- C+R gt/i=l <br />10. NuPber and Description of Surface Acres Disturbed by Mining/not including roads <br />(Exhibit D-'II.R): ,?, S- /a/'gy'-S <br />11. Miles of reads to be constructed:_ _ Q __ <br />12. Life of *fine (years) <br />13. Description of Operation and Reclamation -- Additional sheets may be attached <br />(Exhibits P b E-pfLR) <br />14. Please enclose Naps of Project Operation, Disturbance Areas and Acclamation (E>:hibit <br />C.) This gill expedite processing. Your cooperation is appreciated. <br />15, Prepared by <br />Date: <br />P.l t;p l of 2 <br />