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PLAN OF OPERATIONS FOR MINING ACTIVITIES FS-2800.5 (Rev. M8) <br />USDA, Forest Service ON NATIONAL FOREST SYSTEM LANDS <br />OMB N0.0596-0022 <br />USE OF THIS FORM IS OP770MALI lit TIME USERS SHOULD DIRECT QUESTIONS REGARDING THIS FORM OR <br />REGULATIONS (36 CFR 228A) TO THE FOREST SERVICE DISTRICT OFFICE NEAREST YOUR AREA OF INTEREST. <br />Submitted by: <br />Signature <br />Signature <br />Plan Received by: <br />Title Date <br />(wWdft <br />Title Date <br />(Mwddw) <br />Signature Title Date <br />1, GENERAL INFORMATION <br />A. Name ofMine/Project:{ =_. <br />B. Type of Operation: ' t <br />(5de placer, ill, exploration, a elopment, pr 299km Other) <br />C. Is this a (onew ontinuing) operation? (chec one). <br />If continuing a previous operation, this plan ( oreplaces /omodifiies/psupplements) a previous plan of <br />operations. (check one) <br />D. Proposed start -up date (mm(dd/yy) of operation:f /er• <br />E. Expected total duration of this operation: <br />F. if seasonal, expected date (mm/dWyy) of annual reclamation/stabilization close out: <br />G Expected date (mnVddlyy) for completion of all required reclamation: <br />II. PRINCIPALS <br />A. Name, address and phone number of operator. <br />at -L ' IN- 1475 -��9- wr <br />.ri=d r'c <br />B. Name, address, and phone number of authorized ffeld itpresentative (if other than the operator). <br />Attach authorization to act on behalf of operator. <br />XIIA- <br />C. Name, address and phone n mber of owners of the claims ((f different than the operator): <br />g <br />(If more space is needed ro fiU out a block ofinformadan, use addidand sheets and wrath form) <br />-1- <br />