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PLAN OF OPERATIONS FOR MINING ACTIVITIES FS-2800-5(Rev. <br /> USDA,Forest Service 12/1 t) <br /> ON NATIONAL FOREST SYSTEM LANDS OMB No.0596-0022 <br /> USE OF THIS FORM IS OPTIONAl11aTIME USERS SHOULD DIRECT QUESTIONS REGARDING THIS FORM OR <br /> REGULATIONS t36 CFR 226A)TO THE FOREST SERVICE DISTRICT OFFICE NEAREST YOUR AREA OF INTEREST, <br /> Submitted by: L (J7?�'✓� r- / A2 <br /> Signature Title Date j <br /> Signature Title Date <br /> Plan Received by: <br /> ig re - Title Date <br /> rrn►rdeegl, <br /> I. GENERAL INFORMATION <br /> A. Name of Mine/Project: Ulrich-Rovedo Mine <br /> B. Type of Operation:Lode-Hand digg nq for mineral specimens-Limited Impact <br /> (lode,placer,mill, exploration, development,production,other) <br /> C. Is this a(new/cotinuing)operation?(check one), <br /> If continuing a previous operation,this plan (Dplaces/n®difies/supplements)a previous plan of <br /> operations.(check one) <br /> D. Proposed start-up date(mm/dd/yy)of operation: 6/01/2020 <br /> E. Expected total duration of this operation: 5year until end of season 2025 <br /> F. If seasonal,expected date(mm/dd/yy)of annual reclamation/stabilization close <br /> out: 12131 <br /> G Expected date(mrWdd%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 at the claims(if different than the operator). <br /> RECEIVED <br /> NOV 0 7 2019 <br /> (If more space Is needed to fill out a block of information,use additional sheets and attach form) South Park <br /> -I_ Ranger District <br />