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4 (Form 2- Public) <br />S. Descr be 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 />Site 18 20 drill pad and 250' of 10' wide road <br />9 2 220 of 10' Wide road <br />The four drill sites and associated roads will disturb less than <br />'Y <br />ti. `fro r ed bisturbanee (approximate) Describe the proposed drilling to be conducted, including anticipated number of holes, <br />diarnt ter, depth, location, etc... Submit additional pages if necessary: <br />Drill Pads: Quantity 2 Average Width 2 n , ( ft) Average Length 3() # (ft) <br />B. Drill Holes: Quanti •9 C2 Depth 2 0 0'— 2 0 0 0' (ft) Diameter 5- (in) <br />C. Mud Pits: Quantity 0 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 />Tone <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 store. <br />No chemicals or fuels will be etnrad at any siise <br />F. NewRoad(s): Length 760 _(ft) Width 1_0 (ft) <br />Significantly Upgraded Road(s) Length (ft) Width (ft) <br />Are culverts or other crossings proposed? if so, please describe: No <br />