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PLAN OF OPERATIONS FOR MINING ACTIVITIES FS-2800-5 (Rev. 3108) <br />USDA, Forest Service ON NATIONAL FOREST SYSTEM LANDS OMB NO, W964M <br />USE OF THIS FORM IS OPTIONALI It TIME USERS. SHOULD DIRECT MSTION& EGARDMG THIS FORM OR <br />REGULATIONS (36 CFR 228A) TO THE FOREST SERVICE DISTRICT OFFICE NEAREST YOUR AREA OF INTEREST. <br />Submitted by, <br />Signature Title Date <br />Signature' Title Date <br />(mrNddW) <br />Plan Received by: <br />Signature Title Date <br />(r????ddyy) <br />L GENERAL INFORMATION <br />A <br />A. Name of Mine/Project: <br />B. Type of Operation: /y,?4 ` /f 242 <br />(lode; placer, -mill, exploration, development, production, other) <br />C. Is this a (onew/ ontinuing) operation? (check one), // <br />If continuing a previous operation, this plan (preplaceslMfmodifles/osuppiements) a previous plan of <br />operations. (check one) <br />D. Proposed start-up date (mm/odtyy) of operation: - O 9 <br />E. Expected total duration of this operation: <br />F. If seasonal, expected date (mm/dd%yy) of annual reclamation/stabilization close out: 42- <br />G Expected date (Mm/deft) for completion of all required reclamation: - <br />Il. PRINCIPALS <br />A. Name, address and phone umber of operator: 30 " 77 O 74, <br />I-Y <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 />RECEIVED <br />JUN 10 2009 <br />Division of Reclamation, <br />Mining and Safety <br />t40K CONFloPMAL <br />(!f more space is needed to Jill oul a block of information, use additional sheets and afmch form) <br />-1-