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_r ~ ~' ~ III IIIIIIIIIIIIIII <br />~~~~l~f `~a~. <br />.. ~ `~ ~ r ~` Cq~ - <br />"~ ~ 999 <br /> SEP 1 3 1991 <br />United States Department O~ `• <br />Mined Land For Office Use only <br />Office of Surface Mi .,. - <br />_ Mine Site Evaluation Inspection i?ep~@ClamatiofRDiv sion'~ '~ '~ <br /> Y Y M M Ratch Report <br /> <br />2. Name of Permittee <br />9. MSHA Number 10. Dale of Inspection <br />(Y Y M M D D) <br /> <br /> 4f G G o d ~ C M ~' ~4 C 5 - o ff ~ 3 g- , ~ o . <br /> 3. S treet Address 11. Slate Permit Number <br />9 <br /> ~ b E o x H G - o o 3 - 8~ ~ <br />r <br /> 4. City 5. State _ <br />t2. Name of Mine <br /> a Y n E N c u ypF [1 ~. L NI LI <br />6. Zip Code 7. Area Code 8. Telephone Number <br />8 re 9 303 z~b- 75/ 13. Count Cotle 14. 9ta1b Code 15.~Strala <br />~ ~ j76~Slate Arca Office <br /> LLJ W <br />17. OSM Field 18. OSM Area 19. OSM 20. Type of Ir,speoliort ~ 21. Jolnf Inspection 22 Inspector's ID <br />Olllce No. Otlice No, Sample No. !Cotle) Y , NO <br />C I ~. ~ No. <br />Z <br />23. Stelus 24. Type el Activity (chQek applicable coxes). - ~ <br />~ ~ • <br />A © TYPe of Permit ~ - ,~~ <br />A Steep Slope E <br /> <br />8 ~ Mine Slalus (Code) ~ Anlhrarite <br /> <br />C ® Type of Facility (Code) B ~ Mgm~tain Top Removal <br />'" f C~ Foderal Lands <br /> C ~ Prirtle Farmlands G ~ Indian Lands <br />D • O Number of Permitted Acres <br /> <br />E <br />D ~ Alluv7af t•~911i:y Floors <br />H Other <br />p p .~ 0 e Number of Disturbed Acres <br />25. Performa0ce Standards lCodesf <br />InNruetbna: Indicate compliance code. For any standard marked 2 o r 3 provide narrative to support This determination. <br />Standards That Limit the EIIBCIS to the Permit Area ~ Standards That Assure Reclamalior. Qu;vlily and Timeliness <br />A ~ Distance Hrohlbitions M ~ Topsoil Handling. <br /> <br />B I ~ I Mining Within Permit Boundaries <br />4 <br />-, • <br />N ~ Back!iilinq and Grading <br />C <br />Signs and Markers <br />1 f i <br />--' O ~ Following ReclRmaNOn Schedule <br />Sediment Control Measures <br />D Imo <br />~ <br />+ P ~ Reveyetation Requirements <br />Design and Cerlillcatlon Requirements- <br />E <br />+~- O ~ Disposal of Excess Spoil <br />Sedlmenl Control <br />R ~ Handling of Auld or Toxic Materials <br />F ~ Effluent Llmlts <br /> <br />G ~ Surface Water Monitoring S n Highwall Elimination <br />Y--~ <br /> <br /> <br />H n Ground Water Monltoring T ~ Downslope Spoil Disposal <br />4-' U ~ Post Mining Lantl Use <br />f ~ Blasting Procedures <br />L~-~ <br />V I~ Cessation of .Operatibns: Temporary <br />J ~i Haul/Access Road Design antl Maintenance <br />~ rl~ <br />4- <br />K ~l Refuse Impoundments W ~ Other _ <br />L ~ Othac Spetily <br />Distribution: Original - Fieltl Office, Green -Headquarters, Blue -Slate's Copy, -Yellow ~ Inspector's Copy. Pink ~ File CoDY IE -163 (I/63) <br />t' <br />' a: <br /> <br />