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4 <br />5, Describe proposed surface excavation or other land disturbance, including roads, pits, trenches, waste piles, drill pads and <br />collar areas of underground workings, ponds, etc... <br />(See attached Proposed Action) _ <br />6. 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 10 Average Width 20 (ft) Average Length 40 (ft) <br />B. Drill Holes: Quantity 10 Depth __ 750 (ft) Diameter 2 (in} <br />C. Mud Pits: Quantity 1o Average Width 1o (ft) Average Length 10 - (11) <br />Average Depth 8 (ft) <br />Described proposed underground work, including reopening of old workings, advancement of adits 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 10' in width for an estimated <br />a; cr„rr,anca of 1.19 acres -- <br />E. Indicate 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 />nr; l Tina ael - 200 gallons stored in pick-up truck box <br />-_.?_-._ - <br />F. New Road(s): Length 5, 202- (ft) Width 10 () <br />Significantly Upgraded Road(s) Length (ft) Width (ft} <br />Are culverts or other crossings proposed? If so, please describe: Minor low-water crossings;