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4 (Form 2- Public) <br />5. Describe ptnposed surface excavation or other land disturbance, including roads, pits, trenches, waste piles, drill pads and <br />collar areas of underground workings; ponds, etc... <br />/' /'o.~~J ~i /6 --,~cf• ~,.~.~ ~ %i~• ~L fades s4r~r°ezaxi~v~7G~_ <br />S <br />,Nc~ y/L«c ,a~,~s ~ <br />Na ~r~~~-~~ ,~; Ts <br />Nv ~.~-~ S <br />5. Proposed Disturbance (approximate} Describe the proposed drilling to be conducted, including anticipated number of holes, <br />diameter, depth, location, etc... Submit additional pages if necessary: <br />A. Drill Pads: Quantity ~_ Average Width (ft) Average Length (ft) <br />B. Drill Holes: Quantity ~ Depth ~ cap (ft) Diameter ,;~ (in) <br />C. Ntud Pits: Quantity,~'i~~ Average Width (ft) Average Length (ft) <br />Arer3ge Depth (tt} <br />Descn"bed proposed underground work, including reopening of old workings, advancement of adits or shafts, <br />trenches, pits, cuts, rock dumps, or other types ofdisturbance, descn'be type, quantity and general dimensions: <br />12./a~ u- f--~i.~-/~ ,d?D i /'~~ ui~~ ~c,~t~~ To 1''~G~ / ~ ~iri=/,C 7i~'l <br />~D_~GC--! ~G <br />~~1rl`~'L~,/.~s~?~2 ~% ~'" ,d'~r ~Gr.'.~ ct i.2~-u~ /Jc.L~-- Tv ~ .r ~!i r~ <br />D_ Other Disturbances {please describe): <br />---,~)c~.tJv <br />E. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to store. <br />F. New Itaad(s): ~,t]O~ 'Length (ft) Width (t}) <br />Significantly Upgraded Road(s) Length (ft) Width ($) <br />Are culverts or other crossings proposed? If so, please descn~e: <br />/t-~it,~ <br />