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4 ~ao~ ~~ ~~~~uv <br />S. Describe proposed surface excavation or other land disturbance, including roads, pits, trenches, waste piles, drill pads and <br />colter areas of underground. workin~,s, ponds, etc... <br />(See attached Proposed Action) <br />6. Proposed ©isturbanee (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 to Average Width 20 (ftj Average Length 40 (#}) <br />B. Drill Holes: Quantity to _ Depth __, Aso (ft) Diameter 2 (in) <br />C. Mud Pits: Quantity io_ Average Width to (ft) Average E.ength __ to (ft) <br />Average Depth a (ft) <br />Described proposed underground work, including reopening of old workings, advancement of edits or shafts, <br />trenches, pits, cuts, rock dumps, or other types of disturbance, describe type, quantity and general dimensions: <br />None Proposed <br />D. Other Disturbances (please describe): <br />Access Roads are proposed-totalling 5,202' X 12' in width for an estimated <br />disturbance of 1.44 acres <br />E. fndicatie Chemicals and Fuels used or stored on site. List type, quantity and method to store. <br />Diesel fuel - 500 gallons stored in pick-up tank and drill rig tank <br />Drilling gel - 200 gallons stored in pick-up truck box <br />F. ?~e~ Road4:s): Length _ s~2o2__,_ (ft} L~ idth 12 (R) <br />Significantly Upgraded ttaad(s) Length _____ (ftj Width (ft) <br />Are culverts or other crossings proposed? if so, please de>Cribe: Minor low-water crossings; ____~_ <br />