Laserfiche WebLink
<br />~~ <br />'• <br />APR 14 ~' <br />United States Department of the Interior <br />Office of Surface Mining pplNcD LE <br />Mine Site Evaluation Inspection R~AMATION <br />2. Noma of Permiltee <br /> <br />N ip ~ P Ir I "d P I IX I °y M` f' P- F--I ° f'' ~ <br />3. Street Atldress <br /> <br />~ <br />~" <br />}~ 7 <br />4. City 5. Stele <br />G. r ~ k <br />6. Zl <br />p <br />Co <br />de 7. Area Code B. Telephone Nu <br />ber <br />~ <br />~~ ~~/~ <br />( <br />~ <br />~ <br />~11[~LJ ® m <br />.. ~ ~ a C <br />, - Pp• 1 uP3 Pages <br />For Office Use Only - <br />ISI <br />~m .m <br />Y V M M Batch Report <br /> <br />9. MSHA Numb~1elr <br />-f~A7 ~ 10. Date of Inapec[b <br />(Y Y M M D D) <br />S~ <br />11. State Parmil Number ' <br /> / ~ / <br />t2. Name of Mine <br /> ~ K ~ n ~. / <br />t3. County Code 14. Stale Code i5. Strata 16~Slate Area Oflice <br />f I• I <br />17. OSM Fleltl <br />Ofllce No. <br />~ 1S. OSM Area 19. OSM <br />Olllce No. Sample No. <br />a ® ~ 20. Type of Inspection 21. Joint Inspection <br />(Cotle1 Yes No <br />~ ~~ 22. Inspector's ID <br />No. <br />~ <br />23. Statue 24. Type of Activity (check applicable oozes). <br />A ® Type of Permit <br /> ^ <br />A Steep Slope <br />E ~ Anthracite <br />B ® Mine Status (Code) <br /> 8 ~ Mountain ToD Removal F ~ Federal Lends <br />C ~ Type of Facility (Code) <br /> C . ~ Prime Farmlands G ~ Indian Londe <br />D Q g • Number of Permitted Acres <br /> <br />D ~ Alluvial Valley Floors ^ <br />H Other <br />E ~ Number of Disturbed Acres <br /> 25. Pertormence Slantlarda (Codes) <br />Ingnxlbnc Indicate compliance code. For any standartl merketl 2 or 3 provi de narrative to support this determination. <br />Standards That Llmll the Ellects to the Permit Area Standards Thal Assure Reclamation Quality antl Timeliness ~ ~ <br />A ~ Distance ProhlDitlone ~ M ~ Topsoil Hantllinp <br />B n Mlnlnq Wlthln Pormll Boundarbs N Q Becktlllinq and Grading - <br />C m Signs antl Markers ~ O ~ Following Reclamation Schedule , <br />D ©SWiment Control Meaaurea P. ~ Revegetation Requlramenls <br />E ~ Dealgn end Certlllcallon Requirements- O ~ ~ Disposal ~ol Excess Spoil <br /> Sediment Control <br />R <br />~ Handling of Acid or Tozic Materials <br />F ~ Elllusnt Limits <br /> <br />G <br />~ Surlacs Water Monltorlnq <br />'~ S <br /> <br />T ~ Hlphwall Ellmtnatlon <br /> <br />m Downslope Spoil Disposal <br />H ~ Ground Walar Monltorlnq <br />U <br />~ Post Mlnlnp Lantl Uae - <br />I ~ eluting Procedures <br />V' <br />~ Cessatbn of Operations: Temporary <br />J © Haul/ACCese Rood Design and Maintenance <br /> <br />K <br />~ Re/use Impoundments COr~I 15 rLO'~' '1 1 W <br />L7 ~ ~ Other <br />' <br />L ~ Other. Spedlfy ~ ~ ~ ~ .~ ~ _ , <br />DlstrlWtlon: Original -Field Olllcs, Green -Headquarters, Blue -Slate's Copy, Yellow ~ Inspector's Copy, Pink ~ File Copy <br /> <br />IE - t&'1 (1/83) ' <br />.~ <br />v <br />