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USDA, Faes:Sym PLAN OF OPERATIONS FOR MINING ACTIVITIES FS -M-5 (Rev 12111) <br />ON NATIONAL FOREST SYSTEM LANDS OMB NO. 0596 -OW <br />Submitted by: <br />115E OF W FORU 1S OPTIONAL! 1 a TIME USERS SHOULD DIRECT OUESTIONS REGARDING THIS FORM OR <br />REGULATIONS (36 CFR 221111) TO THE FOREST SERVICE DISTRICT OFFICE NEAREST YOUR AREA OF INTEREST. <br />Signature <br />Title <br />Title y <br />Date <br />(nNWW) <br />Dat& <br />Plan Received by:4 <br />4 <br />231 V <br />Sig u Tide Date <br />I. GENERAL INFORMATION <br />A. Name of Mine/Project: Lover+ Lisa _ <br />B. Type of Operation: Lode <br />(Jade, placer, AW11, exploration, devek ant production, other) <br />C. Is this a (pnew!®contlnuing) operation? (check one). <br />If continuing a previous operation, this plan(®replaces/omodH)es/osupplements) a previous plan of <br />operations. (check one) <br />D. Proposed start-up date (mm/dd/yy) of operation: 09/15/16 <br />E. Expected total duration of this operation: 1 week. <br />F. If seasonal, expected date (mm/ddlyy) of annual reclamation/stabilization closeout: 09/22/16 <br />G Expected date (mm/dd/yy) for completion of all required reclamation: 09/22/16 <br />ll. PRINCIPALS <br />A. Name, address and phone number of operator: <br />Paul Geffner, 91 Marin Avenue, Sausalito, Califoma€ 94965 <br />B. <br />Name, address, and phone number of authorized field representative (lf other than the operator). <br />Attach authorization to act on behalf of operator. <br />NIA <br />C. Name, address and phone number of owners of the claims (If different than the operator): <br />NIA <br />(If more space Is needed to fill out a block of information, use additional sheets and attach furmi <br />