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4 (FORM 2 - Public filing) <br />11. 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 />/ J <br />12. 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 <br />B. Drill Holes: Quantity <br />C. Mud Pits: Quantity <br />Average Depth (ft) <br />Average Width (ft) Average Length (ft) <br />Depth <br />Average Width <br />(ft) Diameter <br />(ft) Average Length <br />_(m) <br />(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 />reX <br />/he're W, l/ b e- A,' (2 J r, %I , ✓1q Ur d 5-t / - bnrir C. C� -T/6 3 <br />F. Other Disturbances (please describe): <br />-"here w 11 be- Vo otAC r j1,"S?- u1-/ 6,, 0 ecS <br />G. Indicate Chemicals and Fuels used or stored on site. List type, quantity and method to store. <br />eA S w, I/ be h La h s ale? � o•, e- <br />C't- a - yT) "e- J ! - eei -4/e, <br />F. New Road(s): tip Length (ft) Width (ft) <br />Significantly Upgraded Road(s) Vo Length (ft) Width (ft) <br />Are culverts or other crossings proposed? If so, please describe: <br />/h��e a-�ie- VO ca,/dc "Ts ©*- C- eSS jztvoP05C <br />