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o~ I I I <br />III Illllllll~~illl{ • MINED LAND IdILDLIFE QUESTI~IRE ~E~E~~E~ <br />~ 999 ~~((??77'' qq Q <br />fat limited impact and select regular mine applic'.~t`ibnS 1 191 <br />w c S ~ 1~1 ~ ~ 1= F A ~ rn ~+ E• ~ES~cua <br />1. Name of Company/Mine: -7-I <br />2. Name/Address/Phone of Contact Person: ~ U S /"~'~~1 ~ Gu~S / /`~ U~F <br />3. Location of ;tine: h'I () ~ ~ A -V 7yltil~ ~ l~ I n 1 N 6. fZ~/y(r~ (o~ SFC~,)~ <br />(County, Township, ge, Section to nearest quarter quarter; Exhibit A-`:I.R appl.) <br />4. Nearest Town/General Location: ~ `"1' • ~t ) 5 () 0 F w /~r(T / ~ S <br />5. Land Ownership (Circle) 1 'Privat 2. BLM 3. USFS 4. Other <br />6. Present Land Use: (nl ~ 5 ~ ~ L {~ J/ ~ ~n,, <br />7. Proposed Final Land Use: (,U ,11 ST ,~ L A h/,h nf/ ~,~ 1g8r <br />~~~r/o N~ o <br />8. Type of Operation: 1. urface 2. Underground N (J/ <br />l) `' > Vr51~N <br />9. Minerals being mined: O 7 S T ~ ~ S ~'l ~ L 4.. ~" ~ L A <br />10. Number and Description of Surface Acres Disturbed by Mining/not including roads <br />(Exhibit D-ru.R> : 0~/ ~ T oY~ ~ ~ J~ T iJ A Ali `1" C ~'V <br />11. Miles of roads to be constructred: ~ <br />12. Life of Mine (years): ~ 7 ~ Ja <br />13. Description of Operation and Reclamation -- Additional sheets may be attached <br />(Exhibits B 6 E-MLR) <br />.SUFs'~1~C I, Z~ ~r-n~~~Ts (~ ~ S h1~L L w/LL <br />rY1 d hr' Cr A rt/ ~ a y rV"T ~, <br />U~ 0 7v C, o rv~ p L 11-.x) ~~ O F 1~"R ~ N <br />~ ~ v L ~ tv L- a P ~ r ,r< A--~- i ~)v A L_ Z S ~ a ,p ~ ~; <br />lu~L~ ~~ BUT ~~ek ~"~ /~ ~Tv I S1..J~'~~ <br />c~ P ~n ~-r - o ~ -~ ~ ~t.~-I) L L ~ k~ A s s ~~ J~ c:< K rt N ~ <br />14. Please enclose Maps of Project Opera,~ion, Disturbance Areas and Reclamation (Exhibit <br />C.) This will expedite processing. Your cooperation is appreciated. <br />15, Prepared by:~r7~G~ /y~~~ Date• t'6~ ~ 'J~ <br />_. ... ._. .. ., Page 1 of 2 <br />