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<br />', United~States;Department of the Ihteri
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<br />1~ 8 1992
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<br />";.For Office: use.ORly:
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<br />Office of Surface Mining ':, -
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<br />_ ; Mine Site Evaluation ~Inspecfion Rep~ed Ldrid ~ ~ ~`. ~ '
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<br />i _ .. ' ~`' ':" : 1n Y ~ Y. ~ M , M: .:.Batch ~ Rapon '
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<br />~ ~ ~ -- - ~„ 10. Date of Inspettlon
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<br />2. Name of Parmlttee
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<br />9. MSHA Number - ~
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<br />` L J~ C f3 f3 o N ' ~_ ~ o ~ ~ - U o - 9 z o ' 0 6
<br />.3. Slrset Address - , ' t1: Slale Permit Number
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<br />' 2. Name of Mlne ' ~ :,< ~.:
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<br /> 8. ZI Cpde~-; ~•). Area CoCS• ~''+.i-, 8.'Telephone Number.. =C , ~13: County Code ~14. State Code - - 15: Slreta ~: %~16. Slato Area Office '~_
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<br />-! "-- Inrdruelbnc {ndlcale comPllance oode: For eny~stahdard marked 2 or Sprovlda naria\IVe toysupport this determieatlnn:: x ,`- -
<br />_ ~ Sundartle Tha(LlmlCthe Efleels to Me Permit Area " • Standards That Assure. ReUamatlon Ousllty and Timellnebs ~. -
<br />. A' a DUUnee fTOMDltlone;- :~ _ _ ~ .. ~M ' ~ "Tdpsbil Nandlinp ~ ' ~ ~ _~Y~' . _ - ,.. '
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<br />_ C ~~ Slpne and Msrksre ~ ~ - ~ , O .~ Following Reclamation Schedule: - .. '
<br />. D ~ ~ Sediment Control Measures ~ ~ ~ ~ . _ P ~-Revegelation Requirements ~ -
<br />• E ~ Design antl CertlfldellOn R•qulremenre- ~ ~ ~ O ©'Dlsposal'ol Excess Spoit ~
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<br />Sediment Control ~ ~ ~ ~ ~
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<br />" ' ~ ~ R ~ Handling pl Acid or Toalc Malerlals
<br />F ©' Effluent Llmlts -
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<br />S ~ Hlphwa(1 Efiminallon
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<br />G ~ Surtscs Walsr Monltorlnp - `~- ' +''
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<br />T ~ Oownslope Spoil Disposal
<br />N ©Ground Water MaNtorlnq
<br />U O Post Mlnlnp Land Use
<br />I © Blsstlnp Procsduree ~ .
<br />V ~ Caseation of Operations: Temporary
<br />J a Haul/Accsse Road Daslgn and Maintenance
<br />' W ~ Other ._.
<br />K ©Reluas Impoundments ~~
<br />L ~ Other. SDacily
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<br />Dletrlbullon: Original -Field Olllce, Green ~ Heatlquarters, Blue ~ Stele's Copy. Yellow ~ InsDector's Copy. Pink -File Copy IE - 763 (7187)
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