Voluntary - 43 Cfr 3809 Exploration Notice Form - United States Department Of The Interior Page 6

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Voluntary – 43 CFR 3809 Exploration Notice Form
d. The location of and reason you need enclosures, fences, gates, and signs intended to exclude the
general public;
e. The location of reasonable public passage or access routes through or around the area to adjacent
public lands; and
f.
The estimated period of use of the structures, enclosures, fences, gates and signs, as well as, the
schedule for removal and reclamation when operations end.
g. Indicate these items on the location map(s) in section 2.3.
Hazardous Substances, if applicable:
9.
Indicate if chemicals and/or fuel are to be used on site. Include information
such as, but not limited to, type of generator, chemicals, fuels, quantities, disposal, storage, etc. Indicate
locations of use and storage on location map(s) in section 2.3. Include a spill contingency plan if chemicals and
fuel are to be used or stored on site.
10. Water Management Plan:
a. Describe anticipated relationship to surface water and groundwater (proximity to streams, penetration
of ground water aquifers, known water depth of lenses, major watershed, storm water plan per CDPHE
regulations, etc.).
b. If the use of water is required, describe the location of source and quantity to be used. Please include
any necessary permits in Section 3.12 below.
11. Please list any and all permits associated with the proposed operations:
Issuing Agency
Permit Type
Permit #
Date of Expiration
Page 6 of 11

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