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USDA PLAN OF OPERATIONS FOR MINING ACTIVITIES F5-2 S-2800.5 <br /> Forest Service ON NATIONAL FOREST SYSTEM LANDS OM NO <br /> 0 <br /> USE OF THIS FORM /S OPTIONAL! <br /> 1" TIME USERS SHOULD DIRECT QUESTIONS REGARDING THIS FORM OR <br /> REGULATIONS (36 CFR 228A) TO THE FOREST SERVICE DISTRICT OFFICE NEAREST YOUR <br /> AREA OF INTEREST. <br /> Submitted byr <br /> re Title Date <br /> (mmtd(t'yy) <br /> Plan Received by <br /> Signature Title Date <br /> (mm/ <br /> dd/yy <br /> 1 <br /> I. GENERAL INFORMATION <br /> A Name of Mine/Project, Lombard #3, CMC 0 294753 <br /> B Type of Operation Exploration <br /> (lode placer mill exploration, development. production other; <br /> C Is this a Anew/DcontmuEng) operation? (check one), If continuing a previous operation. this plan <br /> (7—replaces/Omodifies/rsuppiements) a previous plan of operations (check one) <br /> D Proposed start-up date (mmldd/yy) of <br /> operation 6/1/2021 <br /> E Expected total duration of this operation 10 Years <br /> F if seasona, expected date (rnntldcVyy) of annual reclamation/stabilization close <br /> out 5/30/2031 <br /> G Expected date frrtm,dd%yy) for completion of all required <br /> reclamation 5/30/2031 <br /> 11. PRINCIPALS <br /> A Name address and phone number of operator Jeff Carter 15954 Jackson Ck Pk wy 8281, <br /> Monument CO 80132 <br /> B Name address and phone number of authorized field representative (if other than the operator) <br /> Attacn authorization to act on behalf of operator None <br /> C Name. address and phone number of owners of the claims (if different than the operator) <br /> Same <br /> D Name address and phone number of any other lessees. assigns agents etc and briefly describe <br /> their involvement with the operation if app#icable <br /> 1j n,.,rr spa..s is ffle"ded M W&Ufa b"A 0 Inform m'- air ajdtnonri.Irret,and awry b jorm, <br />