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a <br />•ape a or t .apes <br />`~ Un States Department of the Interit~ <br /> Office of Surtace Mining <br /> Mine Site Evaluation Inspection Report <br />28. State Permit Number 27. Date of Inspectlon <br /> YMMD D <br /> r: <br />2B. Yey No Do mining and reclamation acllvltles on the site comply with the plans In the permlt7 <br />pl ^ 1} no rovlde narrative to su ort this detertnlnatlon. <br />2g. Indicate number of complete end pertlal Inapectlons condypted by the State to date for this annual review period: <br /> <br />2ga. u %C C fc1 I t •~ <br />®Number of Completes CS ~Yl * I ~~~ 29D. ®Number of Partials <br />30. Indicate number of complete and pertlal Inapectlons required by the State during this annual review period: <br />30a ~ Number of Completes 30b. ~ Number of PaRlala <br />31. Hea Inspectlon frequency been met? <br /> <br />31a Yea No <br />^ Q Completes Yes No <br />31 b. ^ ^-~artlals <br />32 FEDERAL ENFORCEMENT INFORMATION. [Enter violation number. Check appropriate box(es)] <br />Ten-Day Nollce No. Notice of Violation No. Cessation Order No. Violation Codes <br />A ^ ^ ^ Authorizatlona to Operate <br />B ^ ^ ^ Slgne and Markers <br />C ^ ..~ ................... ^ .... ................. ^ ........................ Beckfilling and Gradlnp <br />D ^ ^ Hlghwall Eliminatlon <br />E ^ ^ ^ Rills end Gulllee <br />F ^ ^ ^ Improper Fills <br />G ^ ..................... ^ .... ................. ^ ........................ Topsoil Handling <br />H ^ ^ ^ Setllment Ponds <br />I ^ ...................... ^ .... ................. ^ ........................ Effluent Llmlta <br />J ^ ^ ^ Water Monitoring <br />K ^ ^ ^ ........................ Butter Zones <br />L ^ ..................... ^ .... ................. ^ ........................ Roads <br />M ^ ..................... ^ .... ................. ^ ........................ Dams <br />N ^ ..................... ^ ^ Blasting <br />O ^ ^ ^ Revegetatlon <br />P ^ ..................... ^ .... ................. ^ ........................ Spoil on the Downslope <br />O^ ^ ^ Mining Without Permit <br />R ^ ^ ^ Exceeding Permit Limits <br />S ^ ^ ^ Distance Prohibitions <br />T ^ ^ ^ Toxic Materials <br />~ ^ ..................... ^ <br />.... ^ ........................ <br />................. Other Violations <br />33. Name of Authorized Representative (print or type) <br />Signature of Authorized Representative Date /; ~~ i~ <br /> <br />~ -,-I v y ~. <br />Signature of Revle g Official i <br />• Date ,~ U <br /> __i- <br /> DJ ~ <br />DlelrlDutlon: Orlplnal -Field Olllce, Green - ryesOquertar0. Blue ~ state's CoDY• Yellow - Inspector's Copy, Plnk - Flls CoDY IE - 1f13 (11&7) <br />