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'...:. I:' .'..~..~: '. ...~:. ~~..`~~ ..Y '. ... .I <br />(cF .-.. ::..~. i.~i~- .':: ~:~'1.~~.'-.: :Y.~" :=1~: tiVf..• .'rr'.~~V~i'.'`~:~~ii III IIIIIIIII IIII III `~~. ~.~. <br />- - `: U`S~:DEPT. OF THE'INTER.LORy : ~.:~;; <br />1' ~ •. <br />OFFICE OF SURFACE MINING RECI.AMATiONAND ENFOkt;rmravi: o _~ . <br />Mine-Site Evaluation Inspection Report. ~~,~,,~.~ <br />2. Address <br />3. City <br />5. Zip <br />4. State <br />6. Phone Number <br />L'~-LJ-t -ti~1•~J-~-~ <br />7.Opetawr if Different Utan Pemtittee <br />8. Mine Name <br />9. Permit Number 10. Permit Type <br />'o - S 1 <br />11. In <br />spection Date 12. Inspection Type 13. Joint Inspection <br />m <br />m <br />~ J ~~-~-~9~/ ~ <br />`~Y~ ~ ~ Y/N <br />14, Permit Status <br />~ Facility Type 16. Producing Coal <br />® - sy ~ ~ Y,N <br />17.OSM O tce 18. RSI # 19. Land Code <br />® ~ ~L <br />20, M.S.HA ID # 21. State Code 22. County Code <br />p®- o b . ~~~~~.. ~ <br /> . ~t.. <br />JAN 1 6 1991 <br />Codes: <br />A. Admt Lve <br />1. slid Permit <br />2. Mining within Bonded Area <br />3.~Terms & Conditions of Permit <br />4.~LiabiJi[y Insurance <br />5. Owne+ship and Control <br />6.~Pertnit Defect <br />B. Hydrologic Balance <br />I. Drainage Control <br />2. Inspections & Certs. <br />3.,_ySiltation Structttres <br />4.~DischarAe S[tucwns <br />23. Performance Standard Catagories 'mot^"' '-and <br />1=Compliance, 2=violation, 3=Not Applicable <br />D. Backfilling & Grading lI, -Subsidence Control Plan <br />1,~Exposed Openings <br />2.~Conlemp. Reclamation L Roads <br />3. Approx Orig. Contour' 1,LConst Cent <br />4,~Highwall Elimination 2.~Drainage <br />S.~Stcep Slopes 3.~Surfacing <br />6,L,Handling of Acid & Toxic Materials 4. tenance <br />7.LStabilization (rills and gullies) 5. RecLurtation <br />.Limits <br />Wa[er Monitoring <br />Water Moniwting <br />e -Acid-Toxic Materials <br />1l.~Stream Buffer Zones <br />C. Topsoil & Subsoil <br />1.~Removal <br />2.~Substiwte Materials <br />3.~Stomge <br />4.~Redistribution <br />E. Excess Spoil Disposal <br />1.~Placement <br />2,~Drainage Control <br />3.~Surface Stabilization <br />4,~Inspections & Certification <br />F. Coal Mine Waste (Refuse Piles/Impoundments) <br />1,LDrainage Control <br />2.LSurface Stabilization <br />3,~Placement <br />4. • Inspections and Cenification <br />S.~Impounding Swcwres <br />G. Use Of Explosives <br />1.L,Blastcr Certification <br />2.~Distance Prohibitions <br />3.~Bhtst Survey/Schedule <br />4. Warnings & Records <br />5.'~• Control of Adverse Effects <br />J. Signs & Markers <br />IG LDictance Prahibi6oos <br />L. Revegetation <br />1.LVegetative Cover <br />2.~Timing <br />M.~Protectioa of Fisb & Wildlife <br />N. Other <br />_3) <br />24. OSM Action <br />a. TDL #L = _ _ = TV_ <br /> <br />b. TDN #X= _ _ _ TV_ <br /> <br />c. NOV #N_-= _ _ TV_ 25. Ins ection Hours <br />d'~ ~~ a Permit Review <br /> <br />~,~ b. Inspection Tune <br /> <br />~,a c. Travel Time 26. Acres <br />~.~ <br />s_ Pemrined <br /> <br />Q o ©b. Disturbed <br /> <br />d. CO #C -_ _ TV_ O ,, . ~ d. Report Writing Page 1 <br />