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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 />No surface disturbance-Drilling will be conducted entirely from existing disturbed areas which- <br />are devoid of vegetation. <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 2 Average Width 50 (ft) Average Length 50 (ft) <br />B. Drill Holes: Quantity 10 Depth see note below (ft) Diameter see note below (in) <br />C. Mud Pits: Quantity 2 Average Width 25 (ft) Average Length 25 (ft) <br />Average Depth 2 (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 />Drill depth is in 2 phases. Phase 1 is 500 foot maximum depth. Phase 1 drill diameter <br />is 5.375 inch maximum. Phase 2 is no change. <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 />Fuel will be delivered from pick-up mounted tanks only. No on-site fuel storage. _ <br />F. New Road(s): Length None (ft) Width (ft) <br />Significantly Upgraded Road(s) Length (ft) Width (ft) <br />Are culverts or other crossings proposed? If so, please describe: