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Pape Z of Z Papea <br /> <br />' ~ <br /> United States Department of the Interior <br /> Office of Surface Mining <br /> Mine Site Evaluation Inspection Report <br />~ Stats parmR Number 27. Date of Inspection <br /> (YYMMOD) <br />C. - / ~~ t 0. -` y: <br />2B. Yes No DO mining and reclamation acttvitles on the Bite comply with the plans In the perm <br />~ it? <br />~ N no, Ida namatlve to su ort thla determ lnatlon. <br />29. Indicate number of complete end partial Inspections conducted by the State to date for this annual review period: . . <br />29a /~~ Number of Completes ~ 29b. ~~ ~ Number of Partlals~ ^ ` % <br />//l/-; .7 <br />30. Indicate number of complete and partial inspections required by the State during this annual review period: <br />30a. ~, ~ Number o} Completes 30b. L~ ~ 'Number of Partials <br />31. Has Irmpectbn Irequency been met? <br />Yes No ~ Yes No ~ ~ . <br />31a ^ ^ Completes ~ ~ 31 b. ^ ^, Partials <br />32 FEDERAL ENFORCEMENT INFORMATION . [Enter violation. number. Check appropriate box(es]] <br />TerrDay Notice No. Notice of Violation No. ~ Cessation Order No. Violation Codes <br />A ^ ^ ^ ,; ~ Authorizations to Operate <br />9 ^ .. .................. ^ ...... ............... ^ ........................ Signs and Markers <br />,. C ^ ..................... ^ ... ..,. ......,..,..-.. ^ Backfllling and Greding <br />p^ ~ ^ ^ Hlghwell Ellminallon <br />E ^ ^ ^ Rills and GuUles <br />_ <br />F ^ ^ ^ ........................ Improper Fills <br />G ^ ^ ~ ~ ^ ........................ Topsoil Handling <br />H ^ ^ ^ ........................ Sediment Ponds <br />.. <br />...... <br />^ <br />. ^ ^ Effluent Limits <br />......... <br />.. <br />. <br />~ ^ ^ ^ Water Monitoring <br />..................... <br />K ^ ^ ~ ........................ Buffer Zones <br />L ^ ..................... ^ ...... ............... ^ ........................ Roads <br />M ^ <br />.................. ^ ...... ............... ^ ........................ Dams <br />... <br />N ^ ..... ................ ^ ^ Blasting <br />. O ^ ^ ^ -..,.,..~ ................ Revegetatlon <br />' p^ ^ ^ Spoil on the Downslope <br />p ^ ^ ^ ........................ Mining Without Permit <br />R ^ ............ . <br />........ ^ ...... ............... ^ ~. ....................... Exceeding Permit Limits <br />, <br />$ ^ ^ ^ ,,,,,,,,,,,,,,,,,,,,,,,, Distance Prohibitions <br />T ^ ^ ^ ........................ Toxic Materials <br />~ ^ ....... .............. <br />.... .. <br />^ ^ ........................ <br />............... Other Violations <br />33 Marrre of Authorized Representative (pAnt or type) <br /> <br /> Cif -~ <br />Signature of Au[horizsd~Repiesentatlve <br />~ Dat4 <br />~ <br />- - <br />~,- <br />~ <br />~ <br />Signature of.Rev"~erirq Official Date i <br />_. <br />'~ <br />~ ~ ~ <br />~ ' ~- <br /> <br />. <br />___ . _ r. <br /> <br />' <br />~. <br />Dlelrihutbn: Orlainal - Flettl OHlce, Green - HeatlQuertere, Blue -State's Copy, yellow - Inspector's Copy, Pink ~ Flla Copy IE - 1&7 (1/&3) <br />