Voluntary - 43 Cfr 3809 Exploration Notice Form - United States Department Of The Interior Page 4
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11Voluntary – 43 CFR 3809 Exploration Notice Form
Section 3: Description of Operations (i.e., Proposed Action)
Pursuant to 43 CFR 3809.301(b)(2).
1.
Proposed Disturbance:
___________________________________acres
2. Commodity:
Primary _____________________
Secondary_____________________
Others_____________________
3. Period of Operation:
Beginning: _____________________________
Ending: _____________________________
4.
General Schedule of Operations:
Please describe the different parts of operation (Site Development,
Operational Phases, Reclamation Phases). Describe each phase of the exploration operation including design,
operations, timeframe for completion, and reclamation.
5.
Access and other roads:
include information such as, but not limited to, the type (haul, light vehicle, access),
location(s), length, maintenance, upgrades, uses, temporary, permanent, etc. Indicate any part of the access
that is in current existence and the current condition. Indicate these items on the location map(s) in section 2.3.
6.
Equipment:
Please list all vehicles, equipment and devices that will be used Notice level operations.
Activities
General Type
Size
Site Development
Exploration Operations
Reclamation
Other
7.
Exploration Operations:
In the table below, identify the type or method of prospecting proposed and the
quantity to be extracted including, but not limited to, dredging, high banking, cuts, pits, trenches, shafts,
tunnels, adits, declines, air drilling, fluid drilling, blasting, etc. In the open comments box, describe any additional
exploration activities including but not limited to: water source, pipelines, generator/pump, storage containers,
etc. Indicate items listed in the table and comments on the location map(s) in section 2.3.
Type or Method of Prospecting
Quantity of Material
Estimated Area of Surface
Removed (tons)
Disturbance (acres)
TOTAL
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