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<br />4 (Form. 1 -Ail information .for DRMS use and confidential filing) <br />S. Describe proposed surface excavatian or other land disturbance, inctudi.ng roads, pits, trenches, waste piles, drill pads anal <br />col:Iar areas of underground workings, ponds, etc... <br />The disturbance anticipated in the 4,000 sf area will be minimal. T <br />- - <br />a _ ~......small.._Lnr.en~1L._fox.....s.s~i~_sampling <br />and assay work off of the Golden Age Two on the Blue Bull,. "`?~~ ~~-~ <br />6. Proposed Disturbance (approximate) Describe the proposed drilling to be conducted, including anricipated nuntber of holes, <br />diameter, depth, location, etc... Submit additional pages if necessary: <br />A. Drill Pads: Quantity .___ Average Width ._..•_ _ (ft} Average I,,ength ____---,- {ft) <br />Ii. Brill I-Toles: Quantity ..---_-... Depth ---_._..._... -_.._ (D) Diameter .-...._... (in.) <br />C. 14Iud Pits: Quantity - _- Average Width _ - (ft) Average .Length ._. {ft) <br />Average :l?epth __--.....,,__- {~) --- <br />Described proposed underground work, i.neluding 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 />-- _._~. -._~. ~~.,.._- 5--.-ant~iei-pa.tP nnP--P.X.nl~nrat.l.(1.I3.. r'~-~'@~-~--9n--t~22- <br />= Golden Ag e._ T~--. p.~ ~th~._._B.lu~_Bull-, t n_...as sass----o.re s-known,..-.-t~~--p-re-sin-t •--en <br />---._._._the-Blu.e_~ul..l-._a~--not---ye-t:.-d~.v~-lep`ed.~..-._~---~•.-------3.~ ~_.-1_CZ~*~ ~ ~ f i..c. ~ <br />- ~~~ ~- ~.-wf ~-~.~.~ - <br />D. Other Disturbances (please; describe): <br />Dump <br />E. Indicate Chemicals and Fuels used or stored on site. gist type, quantity and method to store. <br />I'. ?~'ew Road(s}: no Length _ _na _____-- (tl) Width na {ft} <br />Significantly Upgraded. Itoad(s} length .-._ __.---- _._..___.. (t1} Width ._ (fi) <br />r'~re culverts or other crossings proposed? If so, please describe: ~____-_:_______ <br />