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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 />. ?/ <t r? S R <r _ ? r' crn d 7-% V e f! 4V Ct r' S /TES c_ T <br />-?:a F w?ier? __ ? (? ?+ «-? '?_-?"? -- 2 JC-f-c? i sL?'%f- •?c ? l +e.._ . ? ? ? ? <br />-_ 1 -tl W --r i r S .: f ? C ! ? a '4:- k.-_ -1: C <br />:_...._-?.- <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: J - <br />A. Drill Fads: Quantity Average Width (ft) Average Length ?(ft) 5-0 C- <br />,',iclk ct <br />B. Drill Holes: Quantity Depth (ft) Diameter _ (in) <br />C. Mud Pits: Quantity Average Width (ft) Average Length /Z_. (ft) <br />Average Depth :3 ..- (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 />E. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to store. <br />r <br />(/I23?'? r"it f' _{l i/Cl /"rt "_ (i C- _ D j.- l QnS1?J[SSlos2 .' - 14 1 4r-Z . <br />Cl - <br />-- ----- __ / j _--- <br />/ - <br />F. New Road(s)- Length 75-M) iViddi _..l._-_ (ft) <br />Significantly Upgraded Road(s) Length Width <br />Are culverts or other crossings proposed? If so, please describe: