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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 />Confidential <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 1 Average Width 40 (ft) Average Length 40 (ft) <br />B. Drill Holes: Quantity confid Depth confid (ft) Diameter confld (in) <br />C. Mud Pits: Quantity 1 Average Width 4 (ft) Average Length 8 (ft) <br />Average Depth 5 (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 />access road to di"! site-,-approxfiiiiri:1111 A. - i <br />E. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to store. <br />1 100 gallons diesel for drill rig2 various drilling fluids quantities undetermined at this <br />point <br />F. New Road(s): Length 250 (ft) Width 10 (ft) <br />Significantly Upgraded Road(s) Length (ft) Width (ft) <br />Are culverts or other crossings proposed? If so, please describe: