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-. <br />I <br />h, <br />I -,. <br />'- . <br />P <br />.. ...,.F.... . <br />....:~~ <br />~II ~I~~I~~I~I~~~ ~I~ <br />sss <br />Pnpe 1 of Z Pape! <br /> <br /> <br />,~.;~ed States Department of the Interior For Office Use OMy <br />~; Office of Surface Mining <br />~` • UN 1 199 ,b ,p <br />'-~` <br />Mine Site EvaluaEfon Inspection Report , , <br />';• ~ - Mlned <br />n~ <br />m <br /> <br /> is In^}rTy ~' 4^:X1 M M Balcn Report <br />~~, ~; J` <br />2. Name of Permlttee .x. - r. ~ <br />g, MSHA Number 10. Date of Inspection <br />(Y Y M M D D) <br /> 7 <br /> 3. Street Atltlreas '1. Slate Permit Number <br />4J ity L . , e de 'n ~4 Cr Mlne~ ~a I~ IL~ ~ ~ ~~J <br />l/ ~ ~" <br />8. Zlp Cotle 7. Area Cotle 8. Telephone NumDx ^utrata <br />~13. County Code 14. Slate Code t5 16. Slate Area Oflice <br />r y < u~'i ' 7 ~ <br />C o- ' ~ LLJ <br />17. OSM Fieltl 18. OSM Area 13 OSM '~ 20. Type of lnspe^_Ilon 21. Jainl Inspection 22. Inspector's ID <br />Ofliee No. Otflce No. Sample No. <br />m ~ tle) Yes ~~ <br />N-o7I <br />I ~N <br />-o.7I <br />-I~ <br />I <br />1 <br />~ I <br />I <br />~ L.~ I <br />y <br />~ <br />; <br />~f~L_J <br />23. Status 24. yype of Activity (check applicable boxes). <br />A ~ Type of Permlt -+ <br />A ~ Steep Slope <br />E ~ Anthrarite <br />B ~ Mine Stales (Cotle) <br /> <br />C T <br />f B ~ Mounlaln Top Rertioval F I~~ Fetlsral Lantls <br />~V <br />ypa o <br />Fphlllly (Cotle) C ~ Prlme Farmlantls G ~-1 Intlian Lands <br />D - v 7 • , Number oYPermi11e0 Acres <br />D ~ Alluvial Valley Floors <br />H Dlher <br />E ~, - l ~• • Numbsr of Dislurbetl Acres <br />25. Performance Standards ICodesl <br />In•truclbn•: Intlicate compliance Cotle. For eny 9lantlard marked 2 or 3 provitle narrallve In support this tleterminalion. <br />Standards Thet Limit the Effects to the Permit Ar•a Standards Tnat Assu•e Reclamation Oualily antl 7imel~ness <br />A Q Distance F•rohlDilions Topsoil Hanbling <br />M 4 <br />~ <br />B ~ Mining Wlthin Permit Boundaries I <br />I-~- <br />Back!lll~r~q antl Grading <br />N I ~ <br />7 <br />C Q Slgns antl Markets <br />W ~ <br />O <br />LjJ Following Reclart~ation Scl~ed~lle <br />Setllment Control Measures <br />D nj <br />w Reveyetatinn Requirements <br />P <br />~ <br />l~ Design antl Cerlilicatlon Requirements- <br />E <br />I~..l <br />r r <br />~ <br />O t ,J t Disposal of Excess Spoil <br />L <br />+-r <br />$~Ifllenl <br />.Onlr01 • <br />R ~ Handling of Acid or Toxic Materials <br />F ~ Ellluent Llmlta <br /> <br />G ~ Surlace Water Monitoring S ~ Highwall Elimination <br />rrr------lll <br /> <br />n T t ` I Downslope Spoil Disposal <br />W <br />H <br />Ground Water Monitoring <br />f1ii----~1 l <br />t <br />U 1 / t Post Mining Lantl Use <br />J <br />I n Blastin0 Procetlures <br />a•Y+ V <br />V n Cessation of Operations: Temporary <br />J Q HaullACCess Road Design and Maintenance VJ <br />W ~ Other <br />_ <br />_ <br />K O Refuse Impountlments __ __ _ _---- <br />L ~ Other: Specify <br />DIS111DUllOn: Original ~ FielO Otilce, Green ~ Neatlquarlers, Blue ~ State's Copy. Yellow ~ Inspector's COpY. Plnx ~ Flle Copy IE ~ 163111831 <br />