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~~ <br />-_-;-'v: <br />~II ~I~II~I~~~~~~ ~I~ <br />P•pe 1 0l Z P•pes <br />United States Department of the InteriorOCT 2 0196 For Office Use Only <br />Office of Surface Mining <br />Mine Site Evacuation Inspection iVIINED LAN <br />R~LAMATION DI ,a <br />ISI~ ,b Tp <br />m m <br /> Y Y M M Batch ReDOn <br /> 1g. Date of Inspection <br />2. Name of Permlitee 9. MSHA Number (Y Y <br />M D D) <br /> <br />r <br />; <br />l 1 ~ <br />~ <br />~ <br />L'_F_L`~Z~' <br /> 3. Street Atltlres5 ~ 11. Stale Permit Number <br /> y <br />4. City 5. State t2. Name of Mine <br /> ~ ~ ~ <br /> ~ n G ~ n ~ X~ 4~~i ~ ~ ~H D ~ I I I I i <br />6. ZID Cotle 7. Area Code 8. Telephone Number 13. County Cotle ta. State Cotle 15 Strata 16 Slate Area Ollice <br /> <br /> <br />17. OSM Fleltl 16. OSM Area 19. OSM 211. Type of irspe^_Iion 21. Joins Inspection 22. Inspector's ID <br />c <br />NOi Office No. Sample 1NO. <br />fIiTI <br />IO <br />e~ <br />OO (Cotle) Yes No No. <br />~_ <br />I <br />' <br />~ <br />NIA ~~~ ~ <br />` <br />23. Status 24. Type of Activity (check applicable oo.es). <br />q ® ~ Type of Permit <br />A .{~i~ SteaO SIDpe <br />l <br />E ~ Anthracite <br />g '{~, Mine Status (Cotle) <br />.I:~~ r <br />B ~ Mountain Top Removal <br />F ~ Federal Lands <br />C ~ p Type OI Facillly (Cotle) <br />C ~ Prime Farmlantls <br />G ~ Indian Lands <br />' D Q I '7 'f • ~ Number of Permitted Acres <br />D ~ Alluvial Valley Floors <br />H ~ Other <br />E ~ • Q Number of DlsturDed Acres <br />25. Performance Stantlartls (Codesl <br />In•Iruetbne Indicate compliance cotle. For any stantlard marketl 2 or 3 provide narrative to supp Dot this tleterminalinn. <br />Standards That Limit the Eflecls to the Permit Area Standards That Assure Reciam actor. Quality antl Timeliness <br />A ~ Distance Prohibitions M ~ TOps011 Handling <br />B ~ Mining Wlthln Permit Bountlaries N ~ Back!ill uig antl Grading <br />C ~ Signs antl Markers O 4~ Following Reclamation Scliednle <br />D ~ Sediment Control Measures P ~ Reveyetation Requirements <br />E © Design antl Certlllcalion Requirements- O i ~ i Disposal of Eccess Spoil <br />~;-~ <br />Sediment Control R ~ Handling of AciO or Toxic Materials <br />F ~ Eflluent Llmlis <br />S ~ Highwall Elimination <br />G ~ Surface Water Monitoring <br />T ~ Downslope Spoil Disposal <br />H ~ Ground Water Monitoring <br /> <br />t ® Blasting Procetlures IA +~~~rrtr..,tid M.tVC U ~ Post Mining Lantl Use <br />~ V © Cessation of Operations Temporary <br />J m HaullACCess Road Design antl Maintenance <br />W ~ Other <br />K ~ Refuse Impountlmenis <br />L ~ Other. Specify <br />Distribution: Original - Fie10 Ollie, Green - Heatlquarters, Blue -State's Copy. Yellow ~ Inspector's Copy. Pink ~ File Copy IE ~ 163 (1163) <br />