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• r ~ • III IIIIIIIIIIIII III • <br />~• ; . ` 999 <br />Pepe t ar i Papes <br />United States Department of the Interior For Office Use Only <br />Office of Surface Mining <br /> <br />Mine Site Evaluation Inspection Report ,a ,b ,~ <br />~ m <br /> Y Y M M Batch ReOOn <br /> <br />2. Name OI Permittea 10 Date ul In SpeCtion <br />9 MSHA Number n Y M M D D) <br /> <br /> R I N f D a7 g Q S'i N 1 ~J O b 3 o b S G o s` 1 y <br /> 3. Street Atltlress 11. Stale Permit Number <br /> P ~ o x 7 3 - 'ig-~ <br /> 4. City 5. Stale t2. Name ul Mine <br /> (= I ~ 1 ~ P ~ O (c7 l y A Q IA S 1 N <br />6. Zip Cotle 7. Area Cotle 8. Telephone Number 17. County Cotle t4. Stale Cooe t5 Strata 16. Slate Arca OIOCe <br />~ ~ a 3c's V ~ -a 30 07~ <br />17. OSM Fieltl 18. OSM Area 19. OSM 20 Type of inspe~bor 21. Joint Inspection 22 Inspector's ID <br />l <br />e <br />INO. Olfice No. Sample No. <br />lmiC <br />IO <br />~ ~ i(Code) _ Yres Nno <br />J~ No~ <br />~ ~ <br />_9 <br />~, <br />( <br />~ <br />LLJ / <br />L1 -L~L <br />l~ L_L1J <br />23. Sla <br />lu <br />s 2-0. Type of Achvuy tc'teck applicame coxed. <br />t <br />~ <br />~ <br />A I,t11 f I Type of Permit <br />~LJ-J - <br />P~ ~"'1Ily~f~~lll) Steep Slope E ^ Anthracite <br />B ® Mine Status 1Code) <br />B ~ Mountan fop Reniu~al F ^ Federal Lands <br />C ~ Type of Facility (Cotle) <br />m <br />C ~ Prime Fzrmlands G ~ Intlian Lantls <br />D ~ ~ ~ • B Number of Permitted Acres <br />D ^ Alluvial Valley Floors H ~ Other <br />E p ~ ,O • C Number of Dislurbetl Acres <br />25. Perlormance Sandartls ICotlesl <br />Inatruetlone Intlmate Compliance Cotle. For any slantlartl marketl 2 of 3 provide nan alive In support Ono tletwminalwn. <br />Stantlads Thal Limit the Elfecis to the Permit Area Slandartls Tnat Assu•e Reclamation Oualny antl Timeliness <br />A ~ Distance Prom Ditions 47 ~ TOp50~1 Handing <br />B ~ Mining Within Permit Bountlaries N ~ Bac k!iil~ng ario Grading <br />C ~ Bigns and Markers 0 i7 FGllowing ReClaniabou SUretlnle <br />D n Sediment Control Measures P ~ Reveyel alion Requirements <br />E ~ Design and Certillcalion Requirements- O ~ Disposal of Excess Spoil <br />Sediment Control <br />R ~ Handling of Acid or Toxic Materials <br />F ~ Eflluent Limits <br />S ~ Hig hwall Elimination <br />G ~ Surface Water Monitoring <br />T ~ Downslope Spoil Disposal <br />H ~ Ground Water Monilorinp <br />U ~ Post Mining Lantl Usr< <br />I ~ Blasting Procedures ~ <br />V 137 Cessation of Operations. Temporary <br />J ~ HaullACCess Road Design antl Maintenance <br />W ~ Other <br />K © Reluse Impoundments <br />L ~ Otnec SPecily _ _ _. _ <br />Distribution: Original ~ Fieltl Oll ice, Green ~ Heatlquarters, Blue ~ Sl ale's Copy. Yellow Inspector's Copy Pmt ~ File Copy IE ~ 163111831 <br />