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.S <br />(Form 2 - Public) <br />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 />The drill sites are fairly level and adjacent to an existing road. <br />There will be no excavation for the drill pad. If needed a pit <br />10'X101will be dug to a depth of _5' for the purpose of mixing <br />W W?backfill material with the cuttings and to bury the cuttings. <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 6 Average Width 70 (ft) Average Length 70 (ft) <br />B. Drill Holes: Quantity 6 _ Depth 4 5 0 ' _(ft) Diameter 511 (in) <br />C. Mud Pits: Quantity _0 Average Width (ft) Average Length (ft) <br />Average Depth (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 <br />D. Other Disturbances (please describe): <br />A 10'X101pit approximately 5' deep at each site to be used to bury <br />cuttings and mixing backfill material. All water to be contained <br />in portable storage tanks or the pit. Water will be disposed of on <br />site but prevented from entering any dry or flowing stream channel. <br />E. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to store. <br />Diesel - less than 100 ctal - mounted fuel tanks <br />F. New Road(s): Length 0 (ft) Width (ft) <br />Significantly Upgraded Road(s) Length 0 (ft) Width (ft) <br />Are culverts or other crossings proposed? If so, please describe: