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USDA, Forest Service <br />PLAN OF OPERATIONS FOR MINING ACTIVITIES <br />ON NATIONAL FOREST SYSTEM LANDS <br />FS -2800-5 (Rev. 12/11) <br />OMB NO. 0596-0022 <br />USE OF THIS FORM IS OPTIONAL! 1e 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: (72z,-;), <br />76,1/: <br />��C� ///Z /5— <br />/ Signature Title <br />PIar1 Received by: <br />Signature <br />Signature <br />Title <br />Title <br />D to <br />(mm/dd/yy) <br />Date <br />(mm/dd/yy) <br />Date <br />(mm/dd/yy) <br />I. GENERAL INFORMATION <br />A. Name of Mine/Project: P/') Z <br />1 <br />B. Type of Operation: <br />/ cS L1cc / <br />(lode, placer, mill, exploration, development, production, other) <br />C. Is this a (l lnewl❑continuing) operation? (check one). <br />If continuing a previous operation, this plan(❑replacesl❑modifiesl❑supplements) a previous plan of <br />• <br />operations. (check one) <br />D. Proposed start-up date (mm/dd/yy) of operation: <br />47/° <br />E. Expected total duration of this operation: , 9», yS <br />t <br />F. If seasonal, expected date (mm/dd/yy) of annual reclamation/stabilization close out: <br />G Expected date (mm/dd/yy) for completion of all required reclamation: /eh /2e.2,/, <br />} II. PRINCIPALS <br />A. Name, address and phone number of operator: �v�_��l . <br />//-/A/ (%�GGL'(:C:-y 3�; /4,2 i7 -7142,e ��� ,�c'� /i�cC, .0 /1 /2c-/ <br />B. Name, address, and phone number of authorized field representative (if other than the operator). <br />Attach authorization to act on behalf of operator. <br />C. Name, address and phone number of owners of the claims (if different than the operator): <br />Mc% . l�/'6Y Z 3, .(/// (7r6 cc, i'%t' _ 4/26 - z) y 7 3 <br />• <br />(Ifmore space is needed to fill out a !flock of information, use additional sheets and attach form) <br />-1- <br />