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T �rti U.S. DEPT. OF THE INTERIOR <br />OFFICE OF SURFACE MINING <br />3. 1I Mine Site Evaluation <br />ITM State Program <br />1. Permittee/Person <br />COORS ENERGY CO <br />2. Address <br />122517TH STREET SUITE 3200 <br />3. City 4. State <br />DENVER co <br />5. Zi Code 6. Phone Number <br />80202 <br />7. Operator Name, if Different than Permittee <br />COORS ENERGY CO <br />8. Mine Name <br />KEENESBURG STRIP <br />est, <br />9. Permit Number 10. Permit Type <br />C1981028 PP <br />11. Field Visit Date <br />12. Purpose <br />13. SRA Present <br />1015/2017 <br />oc <br />-Q-TIM <br />14. Permit Status <br />15. Site Status <br />16. FacilityType <br />0 <br />AN <br />A <br />17. OSM Office l <br />18. CCID # <br />19. Land Code <br />1140 <br />L� .J <br />20. M.S.H.A. ID # <br />21. State Abbrev. <br />22. Count /Burrough <br />05-03515 <br />CO <br />WELD <br />23, AVS Permittee Entity ID Number 24. State Office <br />56858 10 <br />25. Hours 26. Signature Block 27. Reviewing Official: <br />G.0 a. Permit Review to <br />2.0 Signature <br />b. Site Visit Time <br />2.0 c. Travel Time Thomas Medlin, ID#562 Review Date: 10/10/2017 <br />d. Report Writing Printed Name mm - dd - yyyy <br />4.0 <br />Date: 110110/2017 Is Supplemental MSE Page Used YIN 0 <br />Parmit Type -Item 10 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 M -Reclamation Fees CC. Citizen Complaint (initial site visit) <br />Axx . Assistance Fxx... Federal Actions CCF .Assistance <br />Joint Inspection - Item 13 A joint inspection is when a state Inspector accompanies an OSM inspector at any time during the review of the mne site <br />Permit Status - Item 14 AB Abandoned All surface and underground coal mining activities have ceased and operator <br />A Active: Coal m ping activities occurring or permitted but not yet has left the site without completing reclamation as defined in 30 CFR B40:11(g) <br />d sturbed, ABI Bond Forfeiture: Bond forfe lure officially In process or completed and reclamation In <br />IN Inactive (Permanent Program Permit): Phase 11 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 retia m s te. <br />Coal mining competed and reclamation activities Initiated. but site not reclaimed to Program standards <br />BR Bond Release. Reclamation completed and State Regulatory A63 Reclaimed Forfeiture Forfeited site that has been reclaimed to Program standards <br />Authority(RA) has released ail of the bond (Phase III Release), NA Nat Applicabte 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, tolled the performance bond(s) <br />EX Coal Exploration: Coal exp oration operations have cessation of mining pursuant to 30 CFR andlor reclamation of forfeited ads is In progress <br />started and where coal in ping operations have not 8161817:13(b). FR Forfeited and Reclaimed Forfeiture reclamation <br />begun. PI Phase I Release: At least Phase I bond release completed <br />AP Active Coal Producing: Coal s.rface 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-Produc.ng: Active non -producing facility P2 Phase 11 Release: Al least Phase 11 bond release WC Widest 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 M;n:ng: 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 - Hem 16 0 .... Ancillary (Haulroad, Conveyor, andlor Rails 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 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 Agdculturs Regulatory Enlolcement Ombudsman and 10 Regional Fairness Boards were astabiished to receive comments from small businesses about Federal agency <br />enlamement actions. The ombudsman will annually evaluale the enlacement activites and rate each agency s respons vanes to small business If you are a small business (a business with SW or <br />fewer employees Including those of affiliates) and wish to comment on the enforcement or compliance aaivilies of OSM call 1.888 REG -FAIR (1-888-734-3247) <br />jPage 1 <br />