INSPEC01151

• Permit No: C1981020
• IBM Index Class Name: Inspection
• Doc Name: Inspection Report
• Inspection Date: 6/23/2004
• Media Type: D
• Archive: No

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[CJ TIME OF DAY (MILITARY TIME) ~ ~ : 3 S
[CJ INSPECTION TYPE CODE G 7" CC=Coal-Complete, CP=Coal-Partial CX=Coal
Exploration, AI=Aerial, IL=Illegal Operation
POST INSPECTION CONTACTS ~~ d NO=None, BL=USBLM, CE=US Corps of
Engineers, CH=CoIo Health Dept, CL=C010 Land
JOINT INSPECT. AGENCY CODE !~~ a Board, CT=Citizen, CW=CoIo Wildlife, DE=U.S.
Energy, DW=US Wildlife, FS=U.S. Forest Service,
HW=CoIo Highway Dept, OS=OSM, SE=State
Engineer (Water Resources)
[C] REASON FOR INSPECTION CODE ~- ~ AG=Other Agency Request, CT=Citizen Complaint,
FU=TDN Follow-up, IE=Normal I&E Program,
MU=Memo of Understanding, OF=OSM Special Focus,
ON=OSM NOV Follow-Up, OS=OSM Oversight,
PR=Preoperational, SI=Surety Release, SR=Surety
Related
COMPANY REPRESENTATIVE PRESENT
Q~d~
lYe~~
~ -- ---
CO. REP, SIGNATURE (FIELD ISSUANCE ONLY)
(Date)

INSPECTOR'S SIGNATURE ~ ~ ` a ~' ~
(Date)
[C] WEATHER CODE C ~ CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining,
SN=Snowing, VVD=Wndy
INSPECTION REPORT ISSUANCE DATE ~ ' Z3 '- ~
NOTE: [C] =Required Entry
WHITE -File YELLOW -Operator PINK -Specialist
<--
PERMIT STATUS: ~ C AC=Active, AP=Application in Review, CO=Under Cease Order,
IN=Inactive/Phase II Release, PC=Permanent Cessation, RV=Revoked,
SU=Suspended, TC=Temporary Cessation, OR=Other
[CJ MINE ID OR EXPLORATION ID NO. C - 8 ~ -~ ?- D -_ _
[C] INSPECTION DATE ~ ~o /?-- ~ / fD
[CJ INSPECTOR'S INITIALS ~ ~ ~
OF (~°O(_° /
- Nc (1`~p
° COLORADO DIVISION OF MINERALS AND GEOLOGY
`~~~* COAL INSPECTION REPORT
r X876 ~ n
MINE NAME: ~,~, ye: t..OaYBn ~ioP ADDRESS:
OPERATOR: L~+~~Stt¢/"~i+e+~~ Lr<- ~4CJ4'~' L..74i~~~~~
PERMITTEE: .~X~+yfe~ / '~~AT~ ~~'~Q'te ~I~r~ ~ihC'
COUNTY: ~772f Ti ~d !~ ///G.s~ ~.Q- ~~' 7~(J. ~'~9i ~6 ~l-rZ f
TYPE OF OPERATION: SURFACE UNDERGROUND `~ LOADOUT
OWNERSHIP: FEDERAL ~ NON-FEDERAL