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4 (Form 1 - All information for DRMS use and confidential filing) <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 />Excavation at the proposed drill locations will be done using a backhoe and or a small track dozer. Access to the drill sites will be <br />"over land" where possible and drill sites will be cleared and leveled only where necessary. Top soil will be stock piled and <br />spread back over the area when work is complete. A pit will be excavated at each site to hold drill cuttings and any drill fluid. <br />These will be covered at work completion. Necessary access road construction will be 10 feet or less wide and will attempt to <br />leave forbs and grasses. <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 W idth _ 5?0 (ft) Average Length ft <br />13. Drill Holes: Quantity „ Depth - Z.Q_....._ (ft) Diameter <br />C. Mud Pits: Quantity Average Width _ 20 (ft) Average Length 3,0 (ft) <br />Average Depth _IQ <br />{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 />16,11 <br />D. Other Disturbances (please describe): <br />E. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to store. ao ca <br />a?ec? <br />F. New Road(s): .3 eOL Lengthr- <br />Significantly Upgraded Road(s) Length pOD (ft) ? t) Width (R) ft <br />/b <br />Are culverts or other crossings proposed? If so, please describe: __?