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PLAN OF OPERATIONS FOR MINING ACTNITI QEIVQ -5(Rev. <br /> USDA,Forest Service 12111) <br /> ON NATIONAL FOREST SYSTEM LANDSluN 0 5 2019)Me NO 0596-0022 <br /> USE OF THIS FORM IS OPTIONAL!lit TIME USERS SHOULD DIRECT QUESTIONS REGARDINttt{1 .'a 'k <br /> REGULATIONS(36 CFR 228A)TO THE FOREST SERVICE DISTRICT OFFICE NEAREST YOU' A •E T.. . <br /> Submitted by: _� )) 7 —c � J <br /> , Sign e - Title Date / <br /> Signat a Title Date <br /> ' (mnVddtyy) <br /> Plan Received by: - . ill' _t, ■ �lc� �C r J -� <br /> IS; 6 f <br /> Si,latu e f Title Date <br /> (1Pm )i llYY1 <br /> I. GENERAL INFORMATION <br /> A. Name of Mine/Project: Ulrich - Rovedo Mine <br /> B. Type of Operation: Lode- Hand digging for mineral specimens - Limited Impact <br /> (lode,placer,mill,exploration,development,production,other) <br /> C. Is this a (Mew/ctintinuing)operation?(check one). Ni E U.1 - 2810 -OZ 121 V - Nick) -2019 -cCo4 <br /> If continuing a previous operation,this plan (Emplaces/redifiesl supplements)a previous plan of <br /> operations. (check one) <br /> D. Proposed start-up date(mm/dd/yy)of operation: 6/01/2019 <br /> E. Expected total duration of this operation: 5 year until!end of season 2025 <br /> F. If seasonal, expected date(mm/dd/yy)of annual reclamation/stabilization close <br /> out: 12/31 <br /> G Expected date(mm/dd/yy)for completion of all required reclamation: 12/31/2025 <br /> II. PRINCIPALS - � � - --__ __ <br /> A. Name, address and phone number of operator: <br /> JACOB ULRICH BRENT ROVEDO <br /> 17619 LEISURE LAKE DRIVE 18049 E BELLEWOOD DR. <br /> MONUMENT, CO 80132 AURORA, CO 80015 <br /> 303-328-8726 <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 /> (If more space is needed to fill out a block ofinfonnation,use additional sheets and attach form) <br /> -1- <br />