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~- <br />- ~ RECEIVED ~ <br />iii iiiiiiiiiiiiiii '~~ <br />P•a• , of : Pa9ae <br /> ~ o s ~s 4 <br />United States Department of the Irk' r <br />~U~10 RECUAfp11 For Office Use Only <br />Office of Surface Mining <br />Mine Site Evaluation Inspection Repolr~ Dept °f Natural R DIV-S10N <br />so°r <br />- ,b ,p <br /> T <br />I ~ ~ ~ m m <br /> ' Y Y N M e•ich Report <br /> <br />2. Name of Permlttes <br />9. MSHA Number 10. Date of Inspection <br />(Y Y M M D D) <br /> ~ ~ ~ <br />_ <br />~ _ - - ~y;~, <br />3. Street Atldrese 11. State Permit Number <br /> ~ '+ 7 <br /> 4. City 5. Stets 12. Name of Mlns <br /> <br /> ( 1 ~ `~ 1 ~ ~ ~ ./ i <br />S. ZI Code 7. Area Code 8. Teleph one Number 73. County Code 11. State Code 15. Slrata 18. State Area Office <br /> ~ I '~ `' ~ r~ ~ 1 ~ 'h 1 m <br /> <br />17. OSM Field 18. OSM Area 19. OSM <br />OH~ o. O~ftlca No. Sam Ipe No. <br />I <br />f <br />~ <br />I <br />Tr <br />I <br />T <br />I <br />I 20. Type of Inapectlon 2t. Joint Inspection <br />(Code) Y~as Na <br />rT <br />lf <br />, <br />l <br />IT <br />I <br />Tr <br />- <br />I <br />V <br />. <br />I <br />IL 22. Inspector's ID <br />NO./ <br /> <br />L~ <br />I <br />- <br />I <br />L_I <br />L <br />I <br />I <br />L <br />!)L- <br />LI <br />`n <br />j <br />) <br />L <br />_) <br />L <br />_ <br />J <br />) <br />V <br />Jo <br />I <br />L <br />L I <br />+ J <br />23. Status 24 <br />. T <br />y <br />p <br />cI <br />e <br />ACtlvity (check ep <br />I <br />e <br />D <br />Ie boXSS). <br />pI <br />A ~ Type of Pormlt <br />'" <br />A ~ Steep Slope <br />E ~ Anthracite <br />~7 <br />~ <br />B 7 ~ I I Mlne Sletua (Code) <br />B ~ Mountain Top Removal <br />F ~ Federal Cantle <br />C ;~ Type of Feclliry (Code) <br />C ~ Prime Fermlantla <br />G ~ Indian Landa <br />D ~ • Number of Permitted Acres <br /> <br />~ <br />D ~ Alluvial Valley Floors ^ <br />H Other <br />E O <br />~• ~ ^ ~ 1 • f ` Number of Disturbed Acres <br />25. Performance Stendartle (Codes) <br />Inetruetlorle Indicate compliance code. For any standartl marked 2 or 3 provide narrative to support this tletarminatlon. <br />Stendartle ihet Llmll the Eflecta to Iha Pormlt Area Stendartle ihet Assure Reclemetlon Ouall[y and Tlmellnese <br />A ~ Distance ProhlDltlonef ~Je'p •~-~ll/LLfI yam. M (~ Topsoil Handling <br />B ~ Mlnlnp Wllhin Permit Boundaries N ~ Backlllling and Grading <br />C ~ Slpna and Markers O ~ Followln° Reclamatbn Schedule <br />i 1 , <br />D ~ Sediment Control Meaeurss ~' C C ~~1 r2..! 1 v ~ <br />P ~ Revepetatlon Requlremsnta <br />E ~ Dssl°n and Certllicatlon Requirements- D ~ Disposal of Fxcesa Spoil <br />Sediment Control <br />R ~ Hantlllnp of Acltl or Toxic Materlala <br />F ~ Effluent Llmlte <br /> <br />G ~ SuMacs Water Monitoring S ~ Hlphwall Elimination <br /> <br />H ~ Ground Water Monitoring T p Downslope Spoil Dlepoeal <br /> <br />• <br /> <br />I ~ Bfastlnp Procetluroa ~ Poet Mlnlnp Lend Use <br />U <br />J ~ HeuVAcesse Road Dael9n and Malntenencs~ 4 G V ~ Cessation at Operations: Temporary <br />K ~ Refuas Impoundments /l,~prrLf~ri' e <br />W Other <br />L ~ Olhar. Specify <br />Dlstdbutlon: Original - Fleltl O111ce, Green -Headquarters, Blue -State's CoDY• Yellow -Inspector's Copy, Plnk • Flle Copy IE - 1S3 (1180) <br />