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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 />A, <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 ........ ,....___ Average Width ?_.. (it) Average Length <br />B. Drill holes: (ft) <br />Quantity Depth (ft) Diameter (in) <br />C. Mud Pits: ...._....__. _.__.._. <br />Quantity _?----.__._-- Average Width (ft) Average Length (fl) <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 />D. Other Disturbances (please describe <br />rt <br />r} rN <br />E. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to store. <br />F. New Road(s): Length w-- .__ _.._ (ft) Width _ <br />Significantly Upgraded Road(s) Length Y _. - 04 <br />._.___.. (tt) Vt?idth _._._.. (R) <br />Are culverts or other crossings proposed? if so, please describe: