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<br /> <br />' RECEIVED Appendix 1 llllllll~~lllllllll <br />~F0.E~,ENi Oi! k <br />W',~ ;_ aF,~e . SEP ~ ~ ~95S. DEPT. OF THE INTERIOR <br />~~ 91s~~~~CEMININGREGTIONANDII~'OR,C~IIIV'I' ~ ~-~ o <br />Mine-Site Evaluation Inspection Report ?f ~•~ ~~z= <br />~RCw ~ `~~ ~l SUPr~GE <br />I. Pennittee/Person <br />>z C o ~ N <br />2. Address / <br /> <br />9. Pe[mit Number 10. Type <br />e. Permit b. RA <br />X33; S ~~ ® 5~ <br />I1. Inspection Dace 12. Inspectio^ Type L3. Joint Inspection <br />D ~j- :3 1- 9 S C ~ YrN <br />4q DD 1? <br />I u Status . <br />Sire Status <br />16. Facility Type <br /> ~I <br />l7.OSM Office a 76. RSI q 19. Land Code <br />~ q 34 - T I~L~j' -~'j-CI T~D ~ ~' ~I J <br />7.Operator if Different than Permmee ]A. M.S.H.A. ID p 2l. State Code 22. County Cnde <br />'~ ~ 05-G3'78l DS <br />g. Mine Name 23. AVS Perrrrittec Enity ID Number 23b. State Office <br />I~ F RTC ~ I N E 15 1 ~I z I D U <br />3. Cit} ~T~~~ 4. State <br />JC~mEIRISE ~ i f' I i I I I I~ I C~ <br />5. Zlp Code 6. Phone Number <br />24. Performance Standard Categories II <br />Codes: I~Comnliance, 2.Noncompliance. 3•Not Planned. 4•Not Sttuted. 6~Noncomplisnce Identified Elsewhere <br />.l Administrative <br />L! Mining wnhm Vaud Pe,'mic <br />2._LMining within Bonded Area <br />3._ f Terms & Condiuons of Pcrmn <br />~. I Liability Insurance <br />S. 1 Ownership and Control <br />6.3Temporary Cessation <br />B. Hydrologic Balance <br />1. I Drainage Control <br />3. I Inspecuons & Cenifications <br />3. I Siltauon Suucwres <br />a. I Dis: harge Scuctures <br />5 I Drvervons <br />6. f EtOucnt Limits <br />7. I Ground Water Monitoring <br />8. I Surface Water Monitoring <br />9. 3 Uratnage -~ Aad-Toztc Matcnals <br />10. 3 Impoundments <br />11 I Sncam Buffer Znne~ <br />C. Topsoil d Subsoil <br />I. I Removal <br />2.~Subsumte Atateryas <br />3 i Storage and Proreclion <br />a. 1 Redrsvibuuon <br />25. Inspection Frequency <br />a Date o: Last T T~ ~] <br />NSpeelwf. LLLLLLI/LG"===... 1'.~ <br />Frequevcr far pr<~la us a Caleodnr Qtrs. <br />e ~,unbo- Dr Nv,au~ or <br />rcquucd compl«c i , <br />camplc~c ~ ao sr+ecuaes ~)~ <br />ioefa uavs ~'~ covducscf `~ ~~' <br />c. Numbs of Numbs or <br />rrquurd puual <br />al ao siovr <br />m~snxuom '9i$ co'v d`v`<¢d 6`l 01 <br />D. Backfilling & Grading <br />I.~Ezpased Openings <br />2._Cootemporaneous Reclamation <br />3. t Approximate Original Contour <br />4.~Highwall Elimination <br />S.lj,Steep Slopes (includes dow•nslope) <br />6. 3Handling of Acid & Toxic hlarenals <br />7.~Stabiltzation (rills and gullies) <br />E. Excess Spoil Disposal <br />l.~Placemenl <br />2.~Drainage Control <br />3. 3 Surface Stabiltzauor, <br />4. 3 Inspewons & Certduauons <br />F. Coal Mine Wute <br />(Refuse PilesAmpoundmeots) <br />l.,~Drainage Connol <br />2.~Sur(ace Stabilizauon <br />3. 3 Placement <br />4.~IDspauons and Certificauons <br />S.~Impounding Swctures <br />G. Use Of Explosives <br />1. I Blaster Certificatio^ <br />2 I Drstance Prohibitions <br />3.~Blast Survey/Schedule <br />a. 1 N'amings 8 Records <br />5. I Control of Adverse Ef[ats <br />26. Inscection Hours 127. Bonded Acres <br />,~ a. Pmrur Rcv¢w <br />i 1 !!.. <br />~~.~L~J b. Inspc<oon Tunc <br />1 ~~ ~~ ~ a Travd Tunc <br />I 171 ©d. Rcpon w`n¢ng <br />L Roads <br />I.! Road Construcuon <br />2. I Cenificacion <br />3. ! Drainage <br />a. I Surfacing and Maintenance <br />S.~Rcclamauon <br />J. Signs 8 Markers <br /> 1. I Signs <br /> 2.=Markers <br />R. (Distance Prohibitions <br />L. Revegetation <br /> I.~Vegetarivc Cover <br /> 2.~Timing <br />M1t. ~Postmining Land I_ISe <br />N. Other <br />l a. <br />I7 , Cl <br />_,-~ ~l C landed <br />- <br />i nb. Phacc 1 <br />~,J <br />I ~ i N.'~ rclcssui <br />IInn c. <br />n i.IIL~ Phase II <br />rc)ea.ted <br />~d . Phase Ill <br />C . relented <br />28. Acres <br />1 ~'( U a. Prnnined <br />~~-~ I~~ b D~cturbcd <br />(Estimucd) <br />Page 1 of <br />