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• <br /> 12/3 /ZoI7 <br /> -20J .: rct ',:-.-:,,',,e.:..... <br /> FS-2800-5(7/95) <br /> OMB NO.0596-0022 USDA,Forest Service <br /> Expires 01/312002 <br /> PLAN OF OPERATIONS FOR MINING ACTIVITIES <br /> ON NATIONAL FOREST SYSTEM LANDS <br /> Submitted by: �„- ,.. - _ Gt, - Operator U Y l/ <br /> Signature Title Date <br /> Plan Received by: Il ,. i,a,.. -i ria.', 1.414A AA ,i,., W,► <br /> Signature Titl. Date <br /> I. GENERAL INFORMATION <br /> A. Name of Mine/Project: CRYSTALJACK <br /> B. Type of Operation: lode <br /> (lode,placer,mill,exploration,development, production,other) <br /> C. Is this a(new/continuing)operation? (circle one). If continuing a previous operation,this plan <br /> (replaces/modifies/supplements)a previous plan of operations. (circle one) <br /> D. Proposed start-up date of operation: 1 June 2005 <br /> E. Expected total duration of this operation: Ten(10)years <br /> F. If seasonal,expected date of annual reclamation/stabilization close out: NA <br /> G. Expected date for completion of all required reclamation: _31 May 2015 _ <br /> IL PRINCIPALS <br /> A. Name,address and phone number of operator: Joseph L.Dorris;2920 Cedar Heights Drive; - <br /> _Colorado Springs,CO; 80904; Tel: (719)685-4479; E-mail: glacierfrii.com@a Jr)p rMiicAp jv vt& I',.eet <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. Owner,Thomas F. Stephensen(address below) <br /> or Timothy L. Dorris; 5092 Laredo Ridge Drive,Colorado Springs, CO 80922;Tel (719)659-2038; <br /> e-mail:timd123@live.com <br /> C. Name,address and phone number of owners of the claims(if different than the operator): <br /> Thomas F. Ste.hensen• 2516 Waldean Colorado S.rin.s CO 80909• Tel 719 473-7149 <br /> (If more space is needed to fill out a block of information, use additional sheets and attach to form) <br />