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U.S. DEPT. OF THE INTERIOR <br />OFFICE OF SURFACE MINING <br />Mine Site Evaluation <br />3 , State Program <br />1. Permittee/Person <br />O\BO%V AHNING LLC <br />2. Address <br />1601 FORUM PLACE SUITE 1400 <br />3. City <br />{VEST PALM BEACH <br />5. 2;i Code 6. Phone Number <br />334 0[ 1(561) 6974300 <br />7. Operator Name, if Different than Permittee <br />OXBOW ALINING LLC <br />9. Permit Number 10. Permit Type <br />01981022 PEP <br />IL Field Visit Date 12. Purpose 13. SRA Present <br />5/22/2019 O51 ED <br />4. StateI 14. Permit Status 15. Site Status !6. Facility Type <br />FL A A1C BE <br />17. OSM Office # <br />18. CCID # <br />19. Land Code <br />140 <br />SF <br />20. M.SM A. ID # <br />21. State Abbrev. <br />22. Coun /Burrough <br />05-04674 <br />CO <br />I GUN -41507-4 <br />S. Mine Name 23. AVS Permittee Entity ID Number 24. State Office <br />ELK CREEK/SANBORN CRK/SO.NINIERSET 1 1 1151178 <br />25. Hours 26. Signature Block 27. Reviewing Official: <br />2.0 a. Permit Review <br />4.0 b. Site Visit Time Signature Signature <br />$.0 c. Travel Time Christine Belka, ID#182 <br />d. Report Writing Inspector's Name Reviewer's Name <br />2.0 <br />Date: 5/31/2019 Date: I f - <br />NP = No Permit <br />rurpose type Goose - nem 1z GGR .Citizen Complaint Referral (non -site visit <br />Oxx Oversight RFx. Reclamation Fees CC. Citizen Complant (initial site visit) <br />Axx..Assistance Fxx Federal Actions CCF .Assistance <br />Joint Inseaction_tem 13_. )Dint inspection is when en a state inspector accompanies an OSM Inspector at any time during the review of the mine site , <br />Permit Status - Item 14 AB Abandoned, All surface and underground coal mining activities have ceased and operator <br />A Active: Coal mining activities o=i raring or permitted but not yet has left the site without completing reclamation as defined in 30 CFR 040 11(g) <br />disturbed. ABI Bond Forfeiture Bond forfeiture officially in processor 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) AB2 Partially Reclaimed Forfeiture Forfeited site where all fronds have been used to reclaim site <br />Coal mining completed and reclamation activities initiated. but site not reclaimed to Program standards <br />BR Bond Release- Reclamation completed and State Regulatory AB3 Reclaimed Forfeiture: Forfeited site that has been reclaimed to Program standards <br />Authodty(RA) has released all of the bond (phase III Release) NA Not Applicable When site is unpermitted <br />Site Status - Item 16 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 band(s) <br />EX Coal Exploration: Coal exploration operations have cessation of mining pursuant to 30 CFR and/or mdamation of forfeited site is In progress <br />started and where coal mining operations have not 6161817 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 11 Release At least Phase 11 bond release WC Wideat: 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 -Ram 16 D. .Ancillary (Flaulroad, Conveyor, and/or Rails H .Exploration Permits K Government Financed Construction Exemption <br />A Surface E. Refuse andlor Impoundment I Notice of Intent to Explore L Remining site permitted under 30 CFR 765 25 <br />B Underground F. ..Loading Facility and/orTtpple 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 smut businesses about Federal agency <br />enforcement actions The Ombudsman will annually evaluate the enforcement activates and rate each agency's responsiveness to small business If you are a small business is business w th 500 or <br />fewer employees including those of adieates) and wish to comment on the enforcement or compliance activitles of OSM, call 1.868-REG-FA[R (1.688.734.3247), Page Ti <br />