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OUTFITTER/GUIDE OPERATING PLAN <br /> For Temporary Use Permits <br /> Name of Outfitter: Lost Creek Mining, LLC <br /> Designated Agent: Ian Schimpfle <br /> Address: PO Box 271052 Louisville, CO 80027 <br /> Phone Number: 303-242-0880 <br /> Ranger District Covered By Permit <br /> When signed by both the Permit holder and the Forest Service authorized officer, this operating <br /> plan becomes part of the permit. <br /> Plan prepared by ,•_, W, Date: 2 - -18 <br /> Outfitter or designated agent <br /> Plan reviewed by Date: <br /> Forest Service Permit Administrator <br /> Plan approved by Date: <br /> Authorized Officer/District Ranger <br /> THIS OPERATING PLAN IS IN EFFECT FOR THE DURATION OF THE PERMIT. <br /> INSTRUCTION <br /> Check all items that apply and fill in the blanks with details. If additional space is needed, attach <br /> supplemental pages. If a section does not apply, indicate with N/A. Please print clearly or type. <br /> I. GENERAL INFORMATION <br /> A. Permit type ( ) TEMPORARY <br /> B. Company Information <br /> 1. Type of Ownership Circle one: Individual Partnership Corporation: We are a Partnership LLC <br /> 2. Tax ID#or SS#: (required for billing purposes): FEIN #47-4457488 <br /> 3. Owner/Partner(s) <br /> Names(s): Ian Schimpfle 303-242-0880, Jason Roys 720-434-1663 <br /> C. Emergency Contact(s) <br /> Name: Fred Schimpfle 303-427-7570, Jerry Roys 720-299-2697 <br /> D. Description of Operations <br /> 1. Services Provided (Circle all applicable): <br /> Other <br />