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4 (Form 2- Public) <br />b. Proposed Disturbance (approximate) Describe the proposed drilling to be conducted, including anticipated number of holds, <br />diameter, depth, location, etc... Submit additional pages if necessary: <br />A. Drill Pads: Quantity _--____.___ Average V`%idrh (ft) Average Len <br />fi. Drill 1-Idles: Quantity _ _ ____ Depth ...._._. __........_.__ (~) Diameter ______._,,,, _.._. (in) <br />C. Mud Pits: Quantity _,,,,_ Average ~Vidth __ ____ (ft} Average 1_ength __ _ (ft) <br />Average Depth __..__ {.ft) <br />Described proposed underground work, including reopening of old workings, advancement of edits or shafts, <br />tre ches, pits, cuts, rock dumps, or other types of disturbance, describe type, quantity and general dimensions: <br />~..._. <br />iS t~r~c•~~1~ <br />D. Other Disturbances (please describe): <br />.i_ ~ ~. <br />~. <br />l~. ;+iew ltoacl(s): length __- (:ft) Width _ _ __ (ft) i <br />Significantly lpgradec9 R.oacl(s) l,engtli . (ft)1~~ idth „ (f#' <br />_...._ ~.... _......... _.. l <br />r'1re culverts yr other crossings praposed? if so, please describe: _____.,,,.,_,.._._________ _.__.__~______.___ <br />5. Describe proposed surface excavation ar other land disturbance, including roads, pits, trenches, waste piles, drill pads and <br />collar areas of underground v~~orkings, ponds, etc... <br />E. Indicate Chem.i.eals and Fuels used or stored on site. List type, quantity and method to store. <br />