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'_ I•ed States Department of the Inte• <br />' ,. Office of Surface Mining <br /> Mine Site Evaluation Inspection Report <br />26. Slate Permit Number 27. Date of Inspection <br /> IYYMM DD) <br />~- o y 8- / I ~ G o3 / v <br /> <br />28. Yes No Do mining and reclamation activities on the site comply with the plans in the permit? <br />~ ^ If no, provitle narrative to su port this determination. <br />29. Indicate number of complete and partial i nspections conductetl by the State to tlate for this annual review period: <br />29a ~ Number of Completes 29b. ~ Number of Partials <br />30. Indicate number of complete and parial inspections required by the State during this annual review period: <br />30a. ~ Number of Completes 30b. p p Number of Partials <br />31. Has inspection frequency been met? <br />Yes No <br />31a ~ ^ Completes Yes No <br />31 b. ~ ^ Partials <br />32 FEDERAL ENFORCEMENT INFORMATION. [Enter violation number. Check appropriate box(es)) <br />Ten-0ay Notice No. Notice of Violation No. Cessation Order No. Violation Codes <br />A ^ ^ ^ Authorizations to Operate <br />B ^ ^ ^ ........................ Signs and Markers <br />C^ ^ ^ Backtilling and Grading <br />p ^ ^ ^ Highwall Ellminatlon <br />E ^ ^ ^ Rills and Gulllea <br />F ^ ..... ---~--.... ...... ^ ^ Improper Fills <br />G ^ .............. ....... ^ ^ ToPSOII Handling <br />H ^ .............. ....... ^ ^ Sediment Ponds <br />I ~ ^ ~ Effluent Llmlts <br />.............. <br />~ ^ .............. ....... <br />....... ^ ..... ........................ Water Monitorln <br />................ g <br />K ^ .... <br />^ <br />Buffer Zones <br />................ ............ <br />.............. <br />L ^ .............. ....... <br />. <br />....... ^ ..... ................ ^ ........................ Roads <br />M ^ ^ .. ^ ........................ Dams <br />........ <br />.............. <br />N ^ .............. ..... <br />....... <br />....... ^ ..... <br />. <br />^ Blasting <br /> <br />o^ .............. <br />....... ^ ..... Reve elation <br />................ g <br /> <br />P ^ <br />^ ..... S oil on the Downslo e <br />................ P P <br /> Mining Without Permll <br />R ^ ... .... ....... ....... ^ .... ................. ^ ........................ Exceeding Permit Llmlts <br />S ^ .............. ....... ^ .... <br />Distance Prohibitions <br />................. <br />T ^ .............. ....... ^ .... <br />Toxic Materials <br />................. <br />lJ ^ .............. ....... ^ .... <br />Other Violations <br />................. ......... .............~. <br />33. Name of Authorized R resentative (print or type) <br />c ~c.J G o-4 rJ 34. Administrative Information <br />Permit Ravlew (Hours) <br /> a O . <br />Slgnatur f uthoriz <br />C Representative <br /> <br />L Data / <br /> <br />3 l/' ~b <br /> <br />b O • Travel Tlme (Hours) <br />Sign ure of ~gview"rtg licial Date c p (, • Inspection Time (Hours) <br />`~l~ 2~ ~4 d O / • O Report Writing Tima (Hours) <br /> <br />U.+Ir.~.diun. Oueinal Fieltl Otlme, Green ~ HerJ.luaiLUS, Blue ~ Slate's Ccpy, Yellow -Inspector's Copy, Pink ~ Ftle Copy 1E ~ 1a3 (7183) <br />