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<br />ED LAND WILDLIFE UESTIONAIRE ~
<br />~.~,/.-~~, .,-, .. .~ ~II II~II~II~III~II~
<br />. , for limited impact and select regular mine applications 999 _ ..
<br />.' 1: ~ ~ Name of Company/Mine: Se/~/-%y t (/JNIQgiNIBS
<br />v ..// ~ .
<br />n'~~2. '• Name/Address/Phone of Contact Person: U~Yi7 /VE~Soh, A~,E~4ah ~~ineer3
<br />c gat --~/~ S}, G~~,II~, ~`o go~si
<br />-3. Location of Mine: SW ~4- ~?L,-'.~ T.~N//~~,PW. ~N~Z/YW~~•Zt7i~~ 6SIA1.
<br />(County, Township, Range, Section to nearest quarter quarter; Exhibit A-~II,R app1.)
<br />'- 4. Nearest Town/General Location: 6 h~.~,~ R-aa.~' ~ ~bn~rypo„y , ~. '
<br />_ _ ~
<br />5. Land Ownership (Circl 1. Privat 2. BLM 3. USFS 4. Other
<br />A O A
<br />`_. 6. ,. Present Land Use
<br />'ter Y •.-i. ....
<br />ti'rn. 'I~~: •~•
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<br />~' 8.
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<br />9.
<br />Proposed Final Land Use:
<br />Type of Operation: 1.~Surface /2. Underground
<br />Minerals being mined:- eJ~i,[,~lwn.;.~~,
<br />A
<br />'-'10. "•Number and Description of Surfacne Acres Disturbed by Mining/not including roads
<br />(Exhibit D-MLR) : ~~~ {-i-. f .
<br />~:; `-'`
<br />1 _-~_ ~;.-. - -
<br />r..::`••11. Miles of roads to be cons tructed:_~nYvu(7(7~
<br />12. Life of Mine {years) : z. O'~//S.
<br />~- ,
<br />13. Description of Oper:~tion and Reclamation -- Additional sheets may be attached
<br />(Exhibits B b E-MLR) ,
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<br />~: .14. '.P ease enclose Maps of Project Operation, Disturbance Areas and Reclamation (Exhibit
<br />- C.) This will expedite processing. Your cooperation is appreciated. -
<br /> ~~ - `~-_
<br />.;a-~ • 15, ; -Prepared by: I - Date: ~Z'I/r~~ .. =;t ` . ~„ -
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