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USDA, Forest Service <br />PLAN OF OPERATIONS FOR MINING ACTIVITIES FS- 2800 -5 <br />ON NATIONAL FOREST SYSTEM LANDS OMB NO. 0596-0022 <br />USE OF THIS FORM IS OPTIONAL! 1'` TIME USERS SHOULD DIRECT QUESTIONS REGARDING THIS FORM OR <br />REGULATIONS (36 CFR 228A) TO THE FOREST SERVICE DISTRICT OFFICE NEAREST YOUR AREA OF INTEREST. <br />Submitted by: <br />Plan Received by: <br />Signature <br />A. Name of Mine/Project: Willow Creek Mine <br />B. Type of Operation: Placer gold mine <br />Title <br />I. GENERAL INFORMATION <br />II. PRINCIPALS <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 of information, use additional sheets and attach form) <br />-1- <br />CI COPY <br />Date <br />(mm/dd/yy) <br />,47 te <br />(mm/dd/yy) <br />(lode, placer, mill, exploration, development, production, other) <br />C. Is this a ( ®new /ocontinuing) operation? (check one). If continuing a previous operation, this plan <br />( Dreplaces /Dmodifies /Dsupplements) a previous plan of operations. (check one) <br />D. Proposed start -up date (mm/dd/yy) of operation: 10/01/11 <br />E. Expected total duration of this operation: 30 days <br />F. If seasonal, expected date (mm/dd/yy) of annual reclamation/stabilization close out: <br />G Expected date (mm/dd/yy) for completion of all required reclamation: 11/01/11 <br />A. Name, address and phone number of operator: Kay Blecha, 6311 Washington Street, Unit G, Denver, <br />Colorado 80216, 303 - 286 -8688 <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. Angela Bellantoni, Environmental Alternatives Inc, <br />1107 Main Street, Callon City, Colorado 81212, 719 - 275 -8951, J.J. Johnson Willow Creek Mine site manager <br />D. Name, address and phone number of any other lessees, assigns, agents, etc., and briefly describe <br />their involvement with the operation, if applicable: <br />