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4 (Form 2- Public) <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 />F"A.w?,Plwr-A.'??Dyt e?r GDw.PItft IZ <br />1" 02- <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 i2 Average Width 10 (ft) Average Length 10 a„__(ft) <br />B. Drill Holes: Quantity M Depth _6 AC-.4tr,i (ft) Diameter Z. (in) <br />C. Mud Pits: Quantity Average Width (fl) Average Length (ft) <br />Average Depth Z (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 g neral dimensions: <br />,A, •4o bL ve ore-Ae t 9'.4 -S':; e??onon >!.,:0,61 b.,l <br />altixalcs -Icro % :r%w/ , Art{' 1 +11:•.. 6. ••..1w.?+?,oa,,,.L ('Z (nol..s. <br />D. Other Disturbances (please describe): <br />- <br />A cee4j ?lirlit s.Aw Q-T --t <br />E. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to store. <br />Are culverts or other <br />C, VosC . <br />Length (ft) Width (f7) <br />Length (ft) Width (ft) <br />proposed? If so, please describe: t6 Cwt t vr6 Ky, 16Ga to <br />F. New Road(s): <br />Significantly Upgraded Road(s)