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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 />rr? <br />V6 ,?'/k/:i 7? jr- f /0/411/--d? <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 />B. Drill Holes: Quantity y' Depth (ft) Diameter (in) <br />C. Mud Pits: Quantity C- 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 />/VD lA/k?'l?G'??i°!?!'7/s,,%?' ?,: ?? I,.' ?1"et4(/-?'Gl?i?? <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 />/V'0 .e-he/Z1'.4 //j 71-14A/A'$- <br />?Olt? <br />F. New Road(s): , ' Length (ft) Width (ft) <br />Significantly Upgraded Road(s) 14 ' Length (ft) Width (ft) <br />Are culverts or other crossings proposed? If so, please describe: A"?9