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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 />__ 1, drill_site approx 20'x_SQ') on an existing bladed road. Only disturbance expected is for the D.O.E. mandated <br />___nmdpits_(see-,,ec_tion_II1-6-L-N.Q. r ce_s st rl?ance for_the_dril ad„is antici ated: Historic drilling has been <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 Width 20 (ft) Average Length ___S. Q ....__ .,. fl) <br />B. Drill Holes: Quantity.„ 1 Depth 225__.__...._._ _ (ft) Diameter <br />C. Mud Pits: Quantity -_ _ Average Width _ 10 _ (ft) Average length 10 _ (fl) <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 />None <br />D. Other Disturbances (please describe): <br />None <br />E. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to stare. <br />< 200 gal diesel Afuel and 55 gal or less motor oils and / or hydraulic fluids used by drill rigs and support <br />vehicles..._ Fuel oils, and fluids will be stored in the beds of the support vehicles and removed from the <br />--drilling-area ...at-the...end-of e wh- _da_,._._._._-_....._-....._....._._....--._..---__.._._..........---...-----___...._..............___..._...-..____-..-..._....._.-_._-_--....._.__._.-_.._..._._. <br />F. New Road(s): Length ....___..__.___-_.._. (ft) Width (ft) <br />Significantly Upgraded Road(s) Length _ _........_-..._..-M...... (R) (ft) <br />Are culverts or other crossings proposed' If so, please describe: None proposed