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gNl Or <br />~II II~II~III~II~ II~ , ~t^~~~ii=D ~,~"'MEn' <br />o ~,r ... T" m _ .999 - . OF THE INTERIOR a <br />pP . ..~ fi eeII ~~;; ..C~ <br />OFFICE OF SURFACE NHIVING RECLAMATION AND ENFOitG°E~I~~6 o a <br />,, _,. -,q ~ Mine-Site Evaluation Inspection Report `'FO~ <br />4ACN ] ~° Divtst not Mmerds d laeoogy Suet <br />I <br />I. Permittee/Person <br />9. P <br />rmit Nu <br />m <br />ber 10. Type <br />a. Permu b. RA <br />C ERRoR . K • Cesl~ C~.~'aa e <br />~ <br />~ <br />I L <br />- `5 <br />~ - ,9$9 B~ ® ~5 <br /> . <br />, <br />2. Address I I. Inspection Date 12. Inspe ion Type 13. Joint Inspection <br /> I$4D .~,y. i33 oR Ofc Sc ~)>r~- <br /> <br />3. City 4. Stale M11 DD 1'Y <br />14. Permit Status <br />I5. Site Status <br />I(i. Facility Type <br /> a~ C o g 14 Z ~ c'd ~ AN ~J <br />5. Zip Code 6. Phone Number <br />I 17. OSt.1 Office p 18. RSI ~ 19. Land Codc <br />~SI~Zg -0 3D3 qz SS ~ 0 sC] <br />7. Operator i(Different than Permiuee 20. M.S.H.A. ID N 21. State Code 22. Counq• Code <br /> os-o 08 oZ9 <br />8. 1\1ine Name 23. AVS Permiuee En tity ID Number 23b. State Office <br />EfIRoR CREEK ~NDOUT ~ D 7 J ~~ I <br />24. Performance Standard Categories <br />Identified <br />A. Administrative <br />I. I Mining within Valid Permit <br />2.~Mining within Bonded Area <br />3.~Terms R Conditions of Permit <br />4.~Liabiliq• Insurance <br />5. I Ownership and Conuol <br />6._Temporary Cessation <br />B. Hydrologic Balance <br />I. I Drainage Control <br />Z~Inspections d Certifications <br />3.~Siltation Structures <br />4_~Discharge Structures <br />5 Diversions <br />G I Effiuem Limits <br />7. ~ Ground Water Monitonng <br />8. I Surface Water Monitoring <br />9. I Drainage -- Acid-Toxic Materials <br />10. 3 Impoundments <br />I I. 3 Stream Buffer Zones <br />(:. Topsoil B Subsoil <br />1. 1 Removal <br />2 Substitute Materials <br />3 1 Storage and Protection <br />4. 4 Redistribution <br />2~. Inspection Frequency <br />a Dale of Last U <br />Stale Complete <br />Inspection <br />Frequency for previous 4 Calendar Qtrs. <br />o Number of Number of <br />reawred ~ complete . ~~ <br />complete ir~specvons <br />inspeNOns conducted <br />Number cl Number of <br />rep cored atrial <br />pacial inspect~ms <br />insceelion5 Centluel Ed <br />D. Backfilling & Grading <br />I. Exposed Openings <br />2. Contemporaneous Reclamation <br />3.~Approzimate Original Contour <br />4.~Highwall Elimination <br />5.3Steep Slopes (includes downslope) <br />6.~Handling of Acid & Toxic Materials <br />7. I Stabilization (rills and gullies) <br />E. Excess Spoil Disposal <br />I .Placement <br />2.__j_Drainage Control <br />3. Surface Stabilization <br />4.~Inspections & Certifications <br />F. Coal Mine Waste <br />(Refuse Piles/Impoundments) <br />I.~Drainage ConVOI <br />2. jSurface Stabilization <br />3.~Placement <br />4.~Inspections and Certifications <br />S.~lmpounding Structures <br />G. Use of Explosives <br />(.Blaster Certification <br />2.~Distance Prohibitions <br />3.~Blast Survey/Schedule <br />4.~Warnings & Records <br />S.~.Control of Adverse Effects <br />26. Inspection Hours <br />~. ~ a Permu Rrvicw <br />3 •o h. Inspccnon Time <br />~S' ~ c. Travel Ttme <br />~!~~ d. Report Wnting <br />H.~Subsidence Control Plan <br />1. Roads <br />I.~Road Construction <br />2~Certification <br />3.~Drainage <br />4. /Surfacing and Alaintenance <br />S.~Reclamation <br />J. Signs S Markers <br />1 !Signs <br />~ I Markers <br />Ik. (Disance Prohibitions <br />L. Revegetation <br />I. 4 Vegetative Cover <br />2.~Timing <br />111. 4Postmining Land Use <br />N. Other II l <br />_2) 1'f1LIL1 NL~ <br />_3) ~.R. SPG Q <br />27. Bonded Acres 28. Acres <br /> <br />' ~ a. Total <br />bonded <br />TT <br /> 2~ •V a. Permllled <br /> b. Phase I <br /> released <br />b Disturbed <br />/ ~ <br />~_ a Phase II (Estunated) <br /> released <br />i ~~ d. Phase III <br />released Page I of <br />,.....~~..,.~ ~w <br />