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't• III IIIIII III IIII III <br />`K,fNT O~~~f 999 <br />~~:r U. S. DEPT. OF THE INTERIUtt <br />OFFICE OF SURFACE <br />Mine-Site <br />;LAMATION AND ENFORCEMENT <br />n Inspection Report <br />I. PermiueeJPerson ~ w ~ ai a ,e ,9. <br />Y Pe <br />r <br />mit Number IOa. Permit b. RA <br /> / <br />~ <br />lr- SZ- DS7 <br />2. Address ~ C 1 J ~ I I 11 . Inspection Date 12. Inspection Type 13. Joint Inspection <br /> D ~ SPX © rrN <br /> <br />3. City 4. State <br />14. MM DD IY <br />Permit Status <br />I5. Site Status <br />16. Facility Type <br /> co ® AP <br />5. Zip Code 6. Phone Number 17. OSM Office q ~ I8. RSI it 19. Land Code <br />gl(~39 '0 ~ 51 D 0 <br />7. Operator if Different than Permittee 20. M.S.H.A. ID t! 21. State Code 22. County Code <br /> DS- Do3o4 08 10'7 <br />8. Mine Name 23. AVS Pertnittee Enti ty ID Number 23b. State Office <br />Senecft r :-i- D 84 ~ o <br />24. Performance Standard Categories I <br />Codes: L=Compliance. 2=Noncompliance. 3=Not Planned. 4=Not Started.5=Noncompliance Identified Elsewhere <br />A. Administrative <br />I. _Mining within Valid Permit <br />2. _Mining within Bonded Area <br />3. Tetras & Conditions of Permit <br />4. _Liability Insurance <br />5. _Ownership and Control <br />6. _Temporary Cessation <br />B. Hydrologic Balance <br />I. _Drainage Control <br />2. _Inspections & Certifications <br />3. _Siltation Swctures <br />4. _Discharge Structures <br />S. Diversions <br />6. E(Fluent Limits <br />7. _Ground Water Monitoring <br />8. _Surface Water Monitoring <br />9. _Drainage-- Acid-Toxic Materials <br />10. _Impoundments <br />I I. _Stream Buffer Zones <br />C. Topsoil & Subsoil <br />I .-Removal <br />2. Substitute Materials <br />3._Storage and Protection <br />4. Redistribution <br />25. Inspection Frequency <br />a. Dale d Last <br />gale Cornplele /s/ Q <br /> <br />Insireclan ^ <br />~ l ~( <br />FreQuenty for previous 4 Calendar Qtrs. <br />h Numherd Numher of <br />rerJuired <br />complete ~ complete <br />irspeaians <br />in5pCC1i0n5 COrMUtlad <br />c Numberd Number of <br />reQuired partial <br />papal inspecfians <br />mscedions conducted <br />D. Backtilling & Grading <br />I._Exposed Openings <br />2.~Contemporaneous Reclamation <br />3._Approximate Original Contour <br />4._Highwall Elimination <br />5._Steep Slopes (includes downslope) <br />6._Handling of Acid & Toxic Materials <br />7._Stabilization (rills and gullies) <br />E. Excess Spoil Disposal <br />I .-Placement <br />2._Drainage Control <br />3. Surface Stabilisation <br />4._Inspections & Certifications <br />F. Coal Mine Waste <br />(Refuse Piles/Lmpoundments) <br />I._Drainage Control <br />2. Surface Stabilization <br />3. Placement <br />4._Inspections and Certifications <br />5._Impounding Structures <br />C. Use of Explosives <br />1._Blaster Certification <br />2._Distance Prohibitions <br />3._BlastSurvey/Schedule <br />4._Wamings & Records <br />5._Control of Adverse Effects <br />26. Inspection Hours <br />p a. Permit Revicw <br />S•I) b. Inspection Timc <br />~~' c. Travel Time <br />2'~ d. Report Writing <br />H. Subsidence Control Plan <br />L Roads <br />I. Road Construction <br />2. Certification <br />3._Drainage <br />4._Surfacing and Maintenance <br />5. Reclamation <br />J. Signs & Markers <br />I .-Signs <br />2._Markers <br />K. -Distance Prohibitions <br />L. Revegetation <br />I._Vegctativc Cover <br />2._Timing <br />M. _Postmining [and Use <br />N. Other <br />11)S~eciw~ Mugs <br />_3'A.AMQnrDaf'AMIP.DLLS ~k~tnta~ioll <br />27. Bonded Acres <br />a. Total <br />g . D bonded <br />b. Phase 1 <br />relcased <br />c. Phase II <br />relcased <br />d. Phase III <br />relcased <br />28. Acres <br />• ~ a. Permitted <br />4 D b. Disturbed <br />(Estimated) <br />Page I of <br />....,.n.n,~ .w <br />