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fly, <br />Pape x of x Papas <br />'~ United States Department of the Interior - <br />`3= ~ Office of Surface Mining •,'~ y' <br />' Mine Site Evaluation Inspection Report <br />28. Stets PsmW Number 27. Date of Inspection <br /> (YYMMDD) <br />~ - ~a - o o l ~ / o ~ ~ ` <br />?& Yes No Do mining and reclamation activities on the site comply with the plans in the permit? <br />^ ^ If no, de nartative to au on this determination. <br />2Y. Irtdkate number of complete and partial Inspections conducted by the State to date for this annual review period: <br />29a m Number of Completes 29b. m Number of Partials <br />30. Indicate raarrber Ot complete and partial Inspections required by the State during this annual review period: <br />3Ba m Number of Completes 30b. m Number of Partials \ ~~ <br />37. Has Mupscficn freyusncy been met? <br /> Yes No Yes No <br />31a ^ ^ Campbtes 31 b. ^ ^ Partials <br />32 FEDEIt11L ENFORCEMENT INFORMATION, (Enter violation number. Check appropriate boxJes)J <br />Ten-0ry Notice No. Notice of Violation No. Cessation Order No. Violation Codes <br />A ^ ~ ^ ^ Authorizations to Operate <br />8 ^ ^ ^ Signs and Markers <br />C ^ .........---•--...... ^ ...... ............... ^ .... .................... Backfllling and Grading <br />~ ^ ..................... ^ ...... ............... ^ .... .................... Highwell EIImination <br />E ^ ..................... ^ .....- ............... ^ .... .................... Rills and Gutlles <br />F ^ ..................... ^ ^ ImProPer Fills <br />O ^ .--• ................. ^ ...... ............... ^ .... .................... ToPsoll Handling <br />H ^ ^ ^ .... .................... Sediment Pontla <br />1 ^ .............-----... ^ ...... ............... ^ .... .................... Effluent Llmlfa <br />J ^ ---------------•_---- ^ ^ Water Monitoring <br />K ^ ^ ^ .... .................... Buffer Zones <br />L ^ • .................... ^ ...... ............... ^ .... .................... Roads <br />Y ^ ..................... ^ ...... ............... ^ .... .................... 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 />U ^ ^ ^ .... .................... Other Violations <br />33. Name of Auttrorized Representative (print or type) <br />.-.. _ m t ? <br />Signature of AuMwdmd Representative Date `~ L ~' <br /> <br />Sipnatwe of -ng Official <br />_ r Data U L o ~ ~ ~' <br /> y ~ <br />- ~ O I C ` <br /> <br />D1atrlErrlisn Original - FIeW Oflice, Green - Heatlquarters, Blue -State's Copy, Yellow -Inspector's fiEpy, DJpk - Frle Copy IE - 141 (1/83) <br />