INSPEC06104

• Permit No: C1980004
• IBM Index Class Name: Inspection
• Doc Name: Inspection Report
• Inspection Date: 5/28/2003
• Media Type: D
• Archive: No

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~~° ~ $ COLOP./~DO DIVISION OF MINERALS AND GEOLOGY
*„ COAL INSPECTION REPORT
MINE NAME: ~r- LAG n ~ ~^~-[-,~..-~~-„~/YJ[')l P ADD,R-E/S/S: ~.~/~ ~
OPERATOR: , ~Ia,~~f{~ti• ~+,p~o,.. r"r ~. ~G/Gr ~,>k/17 ~-C9 P - ~'~"G
PERMITTEE: /S:vn'e 3( j[d' lrS`s~c.rc,~ ~3 9
COUNTY: (.~ H ~~i~ ~D. Qo 7~ ~O'n s ~O • ~~`r 2 ~C'
/ ~~
TYPE OF OPERATION: SURFACE UNDERGROUND LOADOUT
OWNERSHIP: FEDERAL ~ NON-FEDERAL
PERMIT STATUS: ~ AC=Active, AP=Application in Review, CO=Under Cease Order,
IN=lnadive/Phase II Release, PC=Permanent Cessation, RV=Revoked,
SU=Suspended, TC=Temporary Cessation, OR=Other
[C] MINE ID OR EXPLORATION ID NO. e- ~ ~_ - O a ~ -
[C] INSPECTION DATE ~ S /? ~ / ~ 3
[C] INSPECTOR'S INITIALS d> T M
[C] TIME OF DAY (MILITARY TIME) ~ ~ : 3 ~
[C] INSPECTION TYPE CODE C /~ CC=Coal-Complete, CP=Coal-Partial CX=Coal
Exploration, AI=Aerial, IL=Illegal Operation
POST INSPECTION CONTACTS ~!/ 0 NO=None, BL=USBLM, CE=US Corps of
Engineers, CH=CoIo Health Dept, CL=CoIo Land
JOINT INSPECT. AGENCY CODE LI/ !~ Board, CT=Citizen, CW=CoIo Wildlife, DE=U.S.
Energy, DVV-US Wildlife, FS=U. S. Forest Service,
HW=CoIo Highway Dept, OS=OSM, SE=State
Engineer (Water Resources)
[C] REASON FOR INSPECTION CODE Z ~ 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
G9a ~ t e. r _ GJ ~ ; f l ~ o/ ~
----
CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) /L
(Date)
INSPECTOR'S SIGNATURE
(Date)
[C] WEATHER CODE e ~ CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining,
SN=Snowing, WD=Windy
INSPECTION REPORT ISSUANCE DATE ~ ~
NOTE: [C] =Required Entry
WHITE -File YELLOW -Operator PINK -Specialist