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PLAN OF OPERATIONS FOR MINING ACTIVITIES FS-2800-5(Rev.12111) <br /> USDA,Forest service ON NATIONAL FOREST SYSTEM LANDS <br /> OMB No.0596-0022 <br /> USE OF THIS FORM IS OPTIONAL! 1•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: -4-.A-C-1/4A(/ <br /> 4.1� / �.3Ti -- Fl ECT)E.`::)E.M T/AT.%‘i E. 4-/ t ikl <br /> SigrIre Title Date <br /> (aamdrilyy) <br /> i-- <br /> Signature . I Title Date <br /> -' i ( l h'Y) <br /> • <br /> 1 , <br /> Plan Received by: t /' - 1 . <br /> • Signalvre Title ' Date' <br /> (rm ickUyy) <br /> I. GENERAL INFORMATION <br /> A. Name of Mine/Project: FORREST MINING PROJECT <br /> B. Type of Operation: LODE EXPLORATION&DEVELOPMENT <br /> (lode,placer,mill,exploration,development,production.other) <br /> C. Is this a(®new/Dcontinuing)operation? (check one). <br /> If continuing a previous operation,this plan(Dreplaces/Dmodifies/Dsupplements)a previous plan of <br /> operations. (check one) <br /> D. Proposed start-up date(mm/dd/yy)of operation: 06/01/2017 <br /> E. Expected total duration of this operation: 5 YEAR <br /> F. If seasonal,expected date(mm/dd/yy)of annual reclamation/stabilization close out:12/01/2017 <br /> G Expected date(mm/dd/yy)for completion of all required reclamation: 06/01/2023 <br /> II. PRINCIPALS <br /> A. Name,address and phone number of operator: <br /> AMAZONITE MINING,LLC 8057 S.VERMEJO PEAK,LITTLETON,CO 80127 303-246-7819 <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 /> JEFFREY L.OTTEN 4175 COUNTY ROAD 5,DIVIDE,CO 80814 719-505-3576 <br /> AMAZONITE MINING,LLC MEMBER <br /> C. Name,address and phone number of owners of the claims(if different than the operator): <br /> JEFFREY S.FORREST 8057 S.VERMEJO PEAK,LITTLETON,CO 80127 303-246-7819 <br /> AMAZONITE MINING,LLC MEMBER <br /> BETSY C. FORREST 8057 S.VERMEJO PEAK,LITTLETON,CO 80127 303-246-7819 <br /> AMAZONITE MINING,LLC MEMBER <br /> (If more space is needed loft!!out a block of information,use additional sheets and attach form) <br /> -1- <br />