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<br />COAL BOND COMPLIANCE INSPECTION FORM <br />Mine //l/~.2 ~ ///ihd Z GL 1/,tiv~ <br />Permit No. C -~~-67~ <br />Date ~~-~~ ~~(~ <br />Part 3 -Support Facilities/H~drologic Structures - <br />Permittee / ~ (~+ (.d <br />Operator J~/ L f <br />Inspector /~.~w7 GQY`i~tirn,..- <br />To be completed at Permit Renewal and <br />Midterm <br />1. Verify that all roads are documented in the permit. If not, list all undocumented roads and <br />their approximate width and length. Verify the type of surfacing used on each road <br />(gravel, asphalt pavement, etc.) ~o ~y ~v/~?~ <br />Ql~ ~'l/w~lihi~ i~S G~ ~"" S~(" Gt7-e a// v-2~G1S <br />/ r <br />2. Verify that all ditches and diversions are documented in the permit. If not, list their <br />width, depth, and length. <br />~~ <br /> <br />3. Verify that all culverts are documented in the permit. If not, list their diameter and length. <br />~~ <br />4. List the location, type of opening (drift, shaft, incline), and dimensions of all mine <br />openings. <br />;~j~ <br />