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,rti U.S. DEPT, OF THE INTERIOR <br />I OFFICE OF SURFACE MINING <br />Mine Site Evaluation <br />rain State Pro <br />g <br />I, Pennittee /Person <br />OXBOW DINING, LLC <br />2, Address <br />PO BOX 535 <br />3. City 4, State <br />SOMERSET Cp <br />5. Zi ) Code 6, Pltone Number <br />81434 (970) 919 -5806 <br />RECEIVE I <br />NOV 2 2 2013�0� <br />9, Permit Number <br />Mining & Safelt9. Nohnit Type <br />c•o21.81 <br />-j <br />Pr <br />H. Field Visit Date <br />12. Pui lose <br />13. SRA Present <br />11/612013 <br />OL' <br />14, Permit Status <br />15. Site Status <br />I6, Facillt 1' pe <br />A� <br />AP <br />DDEFG <br />17, OSM Oftiee 11 <br />18. eel ll <br />19, Lond Code <br />140 --7 <br />i = <br />SF <br />7. Operator Name, if Different than Permittee 20, M.S,I I.A. iD 0 21, State Abbrov, 22, COullt /llurrough <br />50.00030 CO n�i,Tn <br />8. Mine Name 23, AVS Pernlittco Entity 1D Number 24, State Offieo <br />ELK CREEK Di1NE �•� <br />25. Hours 26. Signature Block 27. Revlewinm MIA, <br />6,0 a. Permit Review <br />liy . <br />6.0 b. Site Visit Time Signnluro: slgnaaira: <br />8.0 c. Travel Time Chrlstlno HOW, 1DN181 Review Date: <br />6,0 d. Report Writing 'rrilct nine: n,m•dJ.rYSy <br />Date: 111/15/2013= Is Supplemental MSF Pogo used Y/N Y <br />xx... Oversight FIft.Reclamallon Fees CC,__'ClNlon ComploIni (Initlel silo visit) <br />Axx...Assistance Fxx ... Federal Actions CCF,.,Assistance <br />joint nspec on • item 13 A joint nspec on is when a slots nspe or accompanies an 08M inspector At any time during To review of e mine s s <br />Permit Statue - Item 14 AB Abandoned: All surface and underground coal mining activities have ceased and operator <br />A Active: Coal mining activities occurring or permitted but not yet has left the Bite without completing reclamation as defined in 30 CFR 840:11(g), <br />disturbed. AB1 Bond Forfeiture: Bond forfelture officially In process or completed and reclamation In <br />IN Inactive (Permanent Program Permit): Phase II completed or progress or not yet commenced. <br />Temporary Cessation of Operations. (interim Program Permit): A82 Partially Reclaimed Forfeiture: Forfolted alto where all bonds have been used to reclaim alto, <br />Coal mining completed and reclamation activities Initiated. but alto not reclaimed to Program standards. <br />BR Bond Release: Reclamation completed and State Regulatory AB3 Reclaimed Forfeiture: Forfeited ilia that has been reclaimed to Program standards, <br />Authority(RA) has released all of the bond (Phase III Release). NA Not Applicable: When alto le unpormilted, <br />alto Statue • Item 1a MC Mining Complete: No mining activity on 0110, alto NS Non•Slle Mall: Statue or alto not determined. <br />NO No Disturbance: No coal mining and reclamation regraded end awaiting bond release, Forfeiture Pending: The RA Is pursuing actions to <br />operations have been alerted. TC Temporary Cessation The RA has granted FP revoke the permit, collect the performance bond(s), <br />EX Coal Exploration: Coal exploration operations have cessellon of mining pursuant to 30 CFR and/or reclamation of forfeited ail* Is In progress. <br />started and whore coal mining operations have not 8101817:13(b). FR Forfeited and Reclaimed: Forfeiture reclamation <br />begun. P1 Phase I Release: At least Phase I bond release completed. <br />AP Active Coal Producing: Coal surface mining granted for entire permitted area, For Interim FO Abandoned Site: Abandoned alto that Is psrmllled but <br />activities are occurring, permits, partial bond release. there Is no bond, <br />AN Active Non-Producing: Active non - producing facility P2 Phase II Release: At least Phase II bond release WC Wildcat: Coal mining and reclamation operations have <br />such as tipple or preparation plant. for the entire permitted area. or are taking place and the activity Is not covered by <br />NM No Mining: The Permit Statue Is active, sfte Is not in P3 Phase III Release: Reclamation completed and the required permits from the RA. <br />Temporary Cessaton, no surface coal mining the RA ties released all bond. <br />activity, and alto not regraded. <br />Facility Type Codes • Item 18 D ... Ancillary (Houlrood, Conveyor, and/or Rolle H.,,Exploration Permits K, ... Government Financed Construction Exemption <br />A....Surface E....Refuse and/or Impoundment I,. ,Notice of Intent to Explore L,.,,Remining site permitted under 30 CFR 788.28 <br />B .... Underground F...,Loadingp Facility and /or Tipple J.,,,Exempt 18 and 213 <br />C...,Preparation Plant 0 .... stockpiles <br />Small Business Regulatory Enforcement Fairness Act (SBREFA) <br />Your Comments are Important <br />The Smog Business andAgrfcukure Regulatory @nrorcameni Ombudsmen and 10 Regional Fairness Boards were established to receive comments from small bus!nossos about Federal agency <br />enforcement actions. The Ombudsman A annually #ve'uate the enforcement ac muss end rat# each agony's resyyonslvenus to small business 11 you aro o smell business (a bus:nose with 800 or <br />fewo( #mpioyess includlog those of afrrates) and wish to comment on the enforcement or compilance aouYlVes of OSid, coil 1- 600•REO•FAIR (1.888.734.3247), <br />Fags 1 <br />