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Q"T °F U.S. DEPT. OF THE INTERIOR <br />��'`r" <br />OFFICE OF SURFACE MINING !� <br />Mine Site Evaluation F ' <br />.$. State Programst►r <br />1. Permittee /Person 9. Permit Number 10. Permit Type <br />BLUE MOUNTAIN ENERGY INC C -81 -018 PP <br />2. Address 11. Field Visit Date 12. Purpose 13. SRA Present <br />10714 S JORDAN GATEWAY STE 300 4/23/2015 1 OP 0 <br />3. City 4. State 14. �Permit Status 15. 5 lotus 16. Facili T e <br />SOUTH JORDAN UT A FAP-1 JBF <br />5. Zip Code 6. Phone Number 17. OSM Office # 18. CCID # 19. Land Code <br />84095 ($01)619 -6516 1140 SF <br />7. Operator Name, if Different than Permittee 20. M.S.1I.A. ID # 21. State Abbrev. 22. Coun /Burrough <br />BLUE MOUNTAIN ENERGY INC FOAM 5 CO RIO BLANC© <br />8. Mine Name 23, AVS Permittee Entity ID Number 24. State Office <br />DESERADO 1 1143038 <br />25. Hours 26. Signature Block 27. Reviewing Official: <br />10.0 a. Permit Review✓ <br />Z. .rte <br />4S b. Site Visit Time Signature: t­N9 Signa JVjvrrjo <br />Christine Belka 1D #182 Review Date: <br />8.0 c. Travel Time � - I 1 <br />d. Report Writing Printed Name: mre - dd - yyyy <br />10.0 <br />Date: 5/11/2015 Is Supplemental MSE Page Used Y/N ET <br />Permit Type - Item 14 IP = Interim Program PP = Permanent Program NP = No Permit <br />Purpose Type Codes - Item 12 CCR..Citizen Complaint Referral (non -site visit <br />Oxx...Oversight RFx..Reclamation Fees CC ..... Citizen Complaint (initial site visit) <br />Axx ... Assistance Fxx ... Federal Actions CCF ... Assistance <br />Joint Inspection - Item 13 Aloint inspection is when a state inspector accompanies an OSM inspector at any time during the review of the mine site <br />Permit Status - Item 14 AS 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 site without completing reclamation as defined in 30 CFR 840:11(g). <br />disturbed. AB1 Bond Forfeiture: Bond forfeiture 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): A132 Partially Reclaimed Forfeiture: Forfeited site where all bonds have been used to reclaim site, <br />Coal mining completed and reclamation activities initiated. but site not reclaimed to Program standards. <br />BR Band Release: Reclamation completed and State Regulatory AB3 Reclaimed Forfeiture: Forfeited site that has been reclaimed to Program standards. <br />Authority(RA) has released all of the bond (Phase III Release). NA Not Applicable: When site is unpermitted. <br />Site Status - Item 15 MC Mining Complete: No mining activity on site, site NS Non -Site Visit: Status of site not determined. <br />ND No Disturbance: No coal mining and reclamation regraded and awaiting bond release. Forfeiture Pending: The RA is pursuing actions to <br />operations have been started. TC Temporary Cessation: The RA has granted FP revoke the permit, collect the performance bond(s), <br />EX Coal Exploration: Coal exploration operations have cessation of mining pursuant to 30 CFR and/or reclamation of forfeited site is in progress. <br />started and where coal mining operations have not 816/817:13(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 site that is permitted but <br />activities are occurring. permits, partial bond release. there is no bond. <br />AN Active Non - Producing: Active non - producing facility P2 Phase Il Release: At least Phase 11 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 Status is active, site is not in P3 Phase III Release: Reclamation completed and the required permits from the RA. <br />Temporary Cessation, no surface coal mining the RA has released all bond. <br />activity, and site not regraded. <br />Facility Type Codes - Item 16 D .... Ancillary (Haulroad, Conveyor, and/or Rails H ... Exploration Permits K....Government Financed Construction Exemption <br />A .... Surface E .... Refuse and/or Impoundment I....Notice of Intent to Explore L .... Remitting site permitted under 30 CFR 785.25 <br />8 .... Underground F....Loading Facility and/or Tipple J...,Exempt 16 and 213 <br />C .... Preparation Plant G .... Stockpiles <br />Small Business Regulatory Enforcement Fairness Act (SBREFA) <br />Your Comments are Important <br />The Small Business and Agriculture Regulatory Enforcement Ombudsman and 10 Regional Fairness Boards were established to receive comments from small businesses about Federal agency <br />enforcement actions. The Ombudsman will annually evaluate the enforcement activites and rate each agency's responsiveness to small business. If you are a small business (a business with 500 or <br />fewer employees including those of affiliates) and wish to comment on the enforcement or compliance activities of OSM, call 1- 888 -REG -FAIR (1 -888- 734 - 3247). <br />Page 1 <br />