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07/27/2012 10:18 3036747605 <br />USDA, Forest service PLAN OF OPERATIONS FOR MINING ACTIVITIES <br />ON NATIONAL FOREST SYSTEM LANDS <br />USE EORM/S A V TIME USERS SHOULD DIRECT QUESTIONS REGARDING THIS FORM OR <br />REGULATIONS (36 CFR 226A) TO THE FOREST SERVICE DISTRICT OFFICE NEAREST YOUR AREA OF INTEREST. <br />Submitted by: <br />Plan Received by: <br />A. Name of Mine/Project: <br />Signature Title <br />Signature <br />B. Type of Operation: A _ rA <br />D. Proposed start -up date (mm/dd/yy) of operation: <br />--1- • 1 -fftl /�rwtJ <br />Title <br />I. GENERAL INFORMATION <br />(1 • • , l acer, . i11, exploration, developrnen other) <br />C. Is this a (onew /continuing) operation? (check one). If continuing a previous operation, this plan <br />( ofeplaces /pmodifies/Dsupplements) a previous plan of operations. (check one) <br />E. Expected total duration of this operation: /u cc, f C•¢- � <br />F. If seasonal, expected date (mm/dd/ of annual reclamation/stabilization close out: <br />G Expected date (aan/dd/yy) for completion of all required reclamation: (- F-711 p <br />A. Name, address and phone number of operator, £ -j 46 <br />_ C.'7; _ -?,-,A1 1(1. f`'(r67C. is Li_iet' _ r .)' : < c: 14-94- j _ <br />L t 1 rt4lti I - T c?. _ '-19 5 - 7, N Q i v'3Xsrn: c2- t"r • . �(<<4 %A .4/=tr1 7 ~ . , i , ,z~• <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 />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 />A 241 <br />0. PRINCIPALS <br />(If More space Lt needed to Jtlf out a block of information, ase addition[ shad and attach forwr) <br />PAGE 02/14 <br />FS- 2800 -5 <br />OMB NO. 0596-0022 <br />Date <br />(mm/ddPoy) <br />Date <br />(mm/dd /yy) <br />OM 27 znr <br />