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COAL BOND COMPLIANCE INSPECTION FORM <br />Mine V`" ~ar~r w"\ ~~~ Petmittee <br />Permit No. L- $U -00 C~ Operator ~~ <br />Date ~Q.,~,.«,,,,,~.~,,, c_~QQQ~~-~ Inspector <br />Part 4 -Structures/Facilities -Completed at Permit Renewal and Midterm <br />1. List all structures, their composition, rough dimensions, and whether or not they are on <br />concrete foundations and/or footings. <br />Structure Dimensions Composition Foundation Footers <br />name or <br />purpose 1 X w X h steel, concrete, <br />cinder block, <br />wood, etc. yes/no <br />reinforced vs. <br />plain concrete yes/no <br />reinforced vs. <br />plain concrete <br />c5n~~- <br />DLO] I ~~ /~ ~`z-Q~ <br />-r,~~- <br />c~Jty~ <br />~LO~ ~;~,~ t5~-~ <br />ac-. -~as~ _6... ~~SL YRS. <br />~O~ <br />5h~-lC_ <br /> <br />~ ~~ piu XlO ~It~S~ ~S I.eeS2. <br />"- <br />~"" <br />Cs+~cr'~7C-°- <br />~nw~ <br />'t{a~w-tom <br /> <br />C LO~] g~W .~i6~,Qyg~~ vJOO~a~....14~"~ r~n,~~ <br /> <br />Senk <br /> <br /> <br /> <br /> <br />p a-- <br />