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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 />DRILLING ONLY. NO OTHER TYPE OF EVCAVATION IS CURRENTLY CONTEMPLATED. <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 0 Average Width (ft) Average Length _(ft) <br />~~ <br />B. Drill Holes: Quantity 80 Depth 50 FEET (ft) Diameter _(in) <br />C. Mud Pits: Quantity ~ Average Width (ft) Average Length (ft) <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 />15' X 15' X 5' FOOT DEEP UNLINED POND TO BE BUILT AT SAMPLE PLANT <br />D. Other Disturbances (please describe): <br />DRILL RIG WILL ROLL OVER SAGEBRUSH AND WHATEVER GRA;iS THERE MAY BE <br />BUT NO OTHER DRILL PAD WORK IS CONTEMPLATED. <br />E. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to store. <br />F. New Road(s): Length ~ (ft) Width ~ (ft) <br />Significantly Upgraded Road(s) Length ~ (ft) Width o (ft) <br />Are culverts or other crossings proposed? If so, please describe: <br />NO NEW ROADS NO UPGRADED ROADS NO CULVERTS OR OTHER <br />CROSSINGS <br />