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of ~o 4f= n% ~8 COLORADO DIVISION OF MINERALS AND GEOLOGY '.~: COAL INSPECTION REPORT ~ /Bi6 ~ MINE NAME: ~L'J24! ~~! nc, ivo/S ~, Z~ OPERATOR: [Segi^ (OaI fD/NDC(rl~ PERMITTEE: ~q rnQ, COUNTY: (-J'Gnn~SON III IIIIIIIIIIIII III ADDRESS: / 6eAr COa I Caw- iocV ~+1~ ~~I : BOSS ~ gcxal~ P, o, l3~~r s/~ SG vrl2rSe f , ~d g1y3y TYPE OF OPERATION: SURFACE UNDERGROUND ~ LOADOUT OWNERSHIP: FEDERAL ~ NON-FEDERAL PERMIT STATUS: L ~ AC=Active, AP=Application in Review, CO=Under Cease Order, IN=Inactive/Permanent Cessation, RV=Revoked, SU=Suspended, TC=Temporary Cessation, OR=Other ICl MINE ID OR EXPLORATION ID N0. C - ~ ~ - Q 3 3 - [C] INSPECTION DATE ~ ~ / Z O / ~ 7 [C] INSPECTOR'S INITIALS IC] TIME OF DAY (MILITARY TIME) Q ~ : 3 ~ IC] INSPECTION TYPE CODE C ~ CC=Coal-Complete, CP=Coal-Partial CX=Coal Exploration, AI=Aeridl, IL=Illegal Operation POST INSPECTION CONTACTS r~ /v Q 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) [C] REASON FOR INSPECTION CODE ~ F AG=Other Agency Request, CT=Citizen Complaint, FU=TDN Follow-up, IE=Normal I&E Program, MU=Memo of Understanding, OF=OSM Special Focus, ON=OSM NOV Follow-Up, OS=OSM Over- sight, PR=Pre-operational, SI=Surety Release, SR=Surety Related COMPANY REPRESENTATIVE PRESENT VCCS% .~e~- _ -- CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) S .2s Date) INSPECTOR'S SIGNATURE [Cl WEATHER CODE C (___ CL=Cloudy, CR=Clear, RN=Raining, SN=Snowing, WD=Windy INSPECTION REPORT ISSUANCE DATE ~~ NOTE: IC] =Required Entry WHITE -File YELLOW -Operator PINK -Specialist ~~