INSPEC16337

• Permit No: C1981038
• IBM Index Class Name: Inspection
• Doc Name: Inspection Report
• Inspection Date: 4/27/2004
• Media Type: D
• Archive: No

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COLORADO DIVISION OF MINERALS AND GEOLOGY
COAL INSPECTION REPORT
MINE NAME: //~1Qolvl E NO . ~ MINE
OPERATOR: LSowfE. /Pt~SauRCES LTD
PERMITTEE: - SA/11E -
000NTY: L>~LT79
POST INSPECTION CONTACTS 1! a NO=None, BL=USBLM, CE=US Corps of
Engineers, CH=CoIo Health Dept, CL=CoIo Land
JOINT INSPECT. AGENCY CODE ~ ~_ Board, CT=Citizen, CW=CoIo Wildlife, DE=U.S.
Energy, DW=US Wildlife, FS=U.S. Forest Service,
HW=CoIo Highway Dept, OS=OSM, SE=State
Engineer (Water Resources)
TYPE OF OPERATION: SURFACE UNDERGROUND LOADOUT
OWNERSHIP: FEDERAL ~ NON-FEDERAL
PERMIT STATUS: ~C _ AC=Active, AP=Application in Review, CO=Under Cease Order,
IN=lnactivelPhase II Release, PC=Permanent Cessation, RV=Revoked,
SU=Suspended, TC=Temporary Cessation, OR=Other
[C] MINE ID OR EXPLORATION ID NO. C - g - Q 3 3 -
--- --
[C] INSPECTION DATE -O ~ / oZ ~ / _Q
[C] INSPECTOR'S INITIALS ~/ ~ ~,
[C] TIME OF DAY (MILITARY TIME) ~ ~ -? ~
[C) INSPECTION TYPE CODE C ~ CC=Coal-Complete, CP=Coal-Partial CX=Coal
Exploration, AI=Aerial, IL=Illegal Operation
[C]
[C]
REASON FOR INSPECTION CODE ~ '~
ADDRESS: BtISIL- /3ERle
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~'AoIVIA Co. 8lYz$

AG=Other Agency Request, CT=Citizen Complaint,
FU=TDN Follow-up, IE=Nornal I&E Program,
MU=Memo of Understanding, OF=OSM Spedal Focus,
ON=OSM NOV Follow-Up, OS=OSM Oversight,
PR=Preoperational, SI=Surety Release, SR=Surety
Related
COMPANY REPRESENTATIVE PRESENT
CO. REP. SIGNATURE (FIELD ISSUANCE ONLY)
INSPECTOR'S SIGNATURE
WEATHER CODE
C
(Date)
(LL=L:IOUOy, I:K=Glear, ru=roggy, KN=Kammg,
SN=Snowing, WD=Windy
INSPECTION REPORT ISSUANCE DATE ~~ o y
NOTE: [C] =Required Entry
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