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~ IIIIIIIIIIIIIIIIIU ~~~~V~~ <br />e.~. r .r > o..,.. <br />~,.~._ <br />.,~ . <br />a99 <br />United States Department of the Interio <br />Office of Surface Mining <br />Mine Site Evaluation Inspection Report <br />2. Name of Permlttae <br />ICsl Rl ~ fM ~l I~ ~ I sl nl I~l o 4a 1~-'I I d ol l I <br />3. street Address <br /> <br />F o, o ! 1 <br />1. City 5. State <br />PAL1sAd <br />6. 21p Code 7. Area Code 8. Telephone Number <br />1 a t. 3 o y L 'f - l <br />LAND <br />'N DIV1134bAffice Use Only <br />is 1D 7c <br />m <br />Y Y M M 9alcn Report <br /> <br />~ 10. Dale of InsDectlon <br />9. MSHA Number (Y Y M M D D) <br />b -oi 9G - n~f (~ <br />17. Slate Permit Number i <br /> <br />G <br />_ <br />0 <br />3 <br />/ I <br />12. Name of Mina <br /> <br /> ~. ~, o <br />13. County Code 1a. Stale Code t6. Strata 16. Slate Area Oflice <br />oay Go m DI <br />17..OSM Field 16. OSM Area <br />Olllce No. Olfice No. 19. OSM <br />Sample No. 2D. Type of Inspection 21. Joint Inspection <br />(Code) •1 Ves No 22. Inspector's ID <br />No. <br />23. Status 26. Type of Activity (check applicable boxes). <br />A ~ <br />• Type of Permit <br />A Steep Slope <br />E ~ Anthracite <br />B ® Mine Status (Code) <br />B ~ Mountain Top Removal <br />F ~~ Fetleral Lands <br />C ®p Type of Facility (Cotle) <br />C ~ Prime Farmlands <br />I <br />L <br />d <br /> <br />D G O • O <br />Number of Permittetl Acres ntlian <br />an <br />s <br />G ~ <br /> D ~ Alluvial Valley Floors H ~ Other <br />E O ~ Q p • Number of DlsturDetl Acres <br />25. Performance Stantlartls ICotlesl <br />InatNetbna: IndlcatP compliance code. For any standard marked 2 or 3 provide narrative In support this determination. <br />Standards That Limit the Ettects to the Permit Area Stantlartls Thal Assure Reclamation Quality and Timeliness <br />A ~ Distance Prohibitions <br />B ~ Mlnlnp Wlthln Permit Bountlarles <br />C ~ Signs and Markers <br />D ~ Sediment Control Measures <br />E ~ Design and Certilicallon Requlrements- <br />Sediment Control <br />F ~ Eflluent Llmlts <br />G ~ Surlece Water Monitoring <br />H ~ Ground Water Monitoring <br />I © Blastlnp Procedures <br />J ~ Haul/Access Road Design antl Maintenance <br />K ® Refuse Impountlments <br />L ~ Other: SDeclfy <br />M ~ Topsoil Hantllinq <br />ac .i ing antl ra Ong <br />O L,J Following Reclamation Schetlule <br />P ~ Revegetation Requirements <br />O ~ Disposal of Excess Spoil <br />R m Handling of Acrd or Toxic Materfafs <br />S ~ Hlghwall Elimination <br />T ® Downslope Spoil Disposal <br />U ~ Post Mining Lantl Use <br />V m Cessation of Operations: Temporary <br />W ~ Other <br />Dlstrlbutlon: Original ~ Field Office, Green ~ Headquarters, Blue -Stele's Copy. Yellow - Inspector'4 Copy. Pink -File Copy IE ~ 163 (1163) <br />