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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 Appendix A, Section _111.5 <br />___ <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 20 Average Width 20 (ft) Average Length 20 (ft) <br />B. Drill Holes: Quantity 20 Depth __.'__L200 (ft) Diameter 5 (in) <br />C. Mud Pits: Quantity _none Average Width NA (ft) Average Length _ NA (ft) <br />Average Depth NA (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 />No underground work will occur. No old workings will be re-opened; <br />no shafts or adits will be advanced; no trenches, pits, cuts, or rock <br />dumps will be constructed or re-disturbed. <br />D. Other Disturbances (please describe): <br />See Appendix A, Section III.7.1) <br />E. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to store. <br />No fuel or chemicals will be stored on site. Fuel, oil, and <br />lubricants will be transported daily to the site in a pick-up truck <br />in properly marked and stored containers. No other chemicals will <br />be used or stored on site. <br />F. New [Load(s): none Length M (ft) Width (ft) <br />Significantly Upgraded Road(s) none Length ____ (ft) Width (ft) <br />Are culverts or other crossings proposed? If so, please describe: No culverts or crossings need <br />to be installed or upgraded. If site conditions change on the counter ^^ <br />road (e.g, a flash flood occurs) and a culvert is required, it will be <br />installed to Montrose County specifications. No culverts will be needed <br />within the 4.5 acre drill site.