Laserfiche WebLink
' MINED LAND PERAfIT APPLICANT'S QUESTIONNAIRE FOR WILDLIFE <br />~xh,b~+- r`E <br />1. Name of Company: ~m,alc - .S'~UU~F L'~/A/P_ l f ]~ _ <br />2. ~ Name of Contact Person: ,.~„e/G ,~A/e., ~--i L~,o~-ie.~// ,S~iru7L <br />3. Phone Number: (17fJ'-,~Ll~ ~v~~~ 7: Uy /~ii~1 <br />4. Mailing Address: ,j~p~k'y/ C~~U ./'/(off/ _ <br />5. Name .of Mine: ~J~ii~GG ,57L~a1~ /~"f• <br />6. Location of Mine: o5%z /~/~%¢~~ %¢ ~ec,. ~% %//l~,~cl~N/ G~'/9` <br />Township, Range Section, Land Q arter Section <br />7. Land Ownership: (Circle) 1) Priva (2) BLL4 (3) Forest Service <br />her (Specify) <br />8. Present Land Use : ~~~,~ ~ ll~ <br />9. Proposed post-mining land use:_~~r,~_~~/~~~d. <br />10. Type of Operation: (Circle) (1 Surface (2) Underground <br />11. Number of surface acres disturbed by mining operation (not includ- <br />ing roads): ~'-/~Gre S <br />12. Miles of roads constructed, or to L~ constructed, associated with <br />mine operation (including exploratory roads): % ~~`/-o <br />13. Approximate number of years mine will be in operation: %~.~- <br />14. Brief description of operatio!! a!!u reclamation plans (Additional <br />sheet may be attached): ,'G~m~~i// 6~ /E'~rr~a/~G( ~a-,cl <br />15. Please enclose a copy of a map showing the project disturbance areas, <br />and additional informatio^ on the operation, if the material is <br />available. This will help DOW expedite processing a wildlife <br />statement for your MLR application. Insufficient information on <br />project location and plans often result in a delay in providing a <br />statement. Your cooperation if appreciated. <br />, / <br />16. Prepared By ~y~ ~(p ~~,/ Date : G~ZL~B/ <br />01-19-81 <br />cf <br />