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7i <br />Papa 2 of 3 Papas <br /> United States Department of the Interior <br /> Office of Surface Mining <br /> Mine Site Evaluation Inspection Repart <br /> <br />~$, SUta Parmll Number a_ c,. 27. Date o1 Inspection <br />C- U - / U O 6 <br />2B. Yss No DO minirq and reclamation activities on the site co y with the plans in the permit? <br />f3" ^ If rp de nartative to su ort This determinalion . <br />Zo. Irrdicate number of campole and partial Irispscllons conducted by the State to date for this annual review period: ' <br />2ga ®Nunrber of Completes ~ 29b. ®Number of Partials ~ X <br />30. Indigte number of complete and partial Inspectio(.igYe~uiied by the State du[ing.lhis annual review period: <br /> <br />308 ~ Nrarrber of Completes ~3.1.. Tt..,... <br />~ <br />30b. ~ dumber of Partials <br /> <br />31. Flas IrMWaclion frequency been met? ~ . <br />Yes ~Ne <br />3fa ~ ^ Compotes <br />37b. Yes ~ ND ~ ~ ' <br />~^ Panials ~'~ <br />32 FEDERAL FJdFONCEMENT INFORMATION. [Enter vlolalion numbel'gi;h})fk appropriate 6px(es)] <br />Terr~Dsy NoUcs No. Notice of Violation No. Ces { ~ rder No. Violation Codes ~ <br />A ^ - ^ _ - - ^ <br />..... - - -'~- ~ Authorizations to ODerate <br />.... <br />.... <br />ll <br />B^ .. .................. ^ ...... .... <br />...... ^ Sipnsan'dMarkers <br />'. <br />......... <br />....... <br />C^ ..................... ^ ...... ......`........~: ^ ....................~.... BackgflinpindGr ding <br />O^ ..................... ^ ^ .......... ....... ,..... Hlghwall Ellminatl~n . <br />E ^ ^ ,; ^ Rills end Gullies '~ <br />F^ ..................... ^ ...... ............... ^ ..:..~................... ImproPerFills '~ <br />r'^ ..................... ^ ...... ............... ^ ....... Topsoil Handling <br />N^ ^ ^ Sediment Ponds <br /> <br />1^ <br />^ <br />^ i <br />.~ ............. •. Effluent Limits ii <br />J ^ ^ ^ ~ Water Monltorinp <br /> <br />K^ <br />^ <br />^ .. , <br />' ~ ~ ' Buffer Zones <br />~ ^ ..................... ^ ...... ..I•,......,..... ^ ........................ Roads <br />M^ ..................... ^ ...... ............... ^ ........................ Dams <br />N^ ..................... ^ .. .........~...... ^ ........................ Blasting ii <br /> <br />P^ ..................... ^ ^ SpollontheDowr~atope <br />Q^ ..................... ^ ...... ............... ^ ........................ Mining Without P Irmit . <br />R^ ..................... ^ ^ Exceedlnp Permit Imits <br />S ^ ................••-._ ^ ^ Distance Prohlblti na <br />T ^ ^ ^ Toxic Materlala <br />U ^ ..................... ^ ...... ............... ^ ........................ Other Vloletlons <br />33 Name of Aultrorize0 Representative fprlnt or type) ' <br />A 1~- r <br />Siglatyrs7ol A geDro alive ` Date '" `~ <br /> <br />Siena re,o~ inp ial ~ Date G ~~ v <br /> b <br />~ ~' <br /> y <br /> <br />Diatribulipn OriaMal -Field OINCe, Green -Headquarters, Blue - State''3 Copy, Yellow - InsDeclor's Copy, Plnk-#j iE - 163 (1183) <br />