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'-.~ <br />,~ <br />'!3,~ .. <br />• <br />III 11111 1II11» 1II <br />~,~~~,~ <br />ar:- +~4198G <br />.sue , <br />j._ <br />-: ~ rar: P.n• <br />III 11111111~~~~~ n~ <br /> <br />999 <br />/ ~L.T y~a <br />~~~f'111o7w <br />United. „ ~ F~epartment of the Interip~~~'~I] LINO ,,,~ q~s6kflG6iffice use Only <br />B of Surface Mining f;glo.DepLOt <br />• <br /> <br />Mine Sii. aluation Inspection <br />Report to <br />~ tb le <br />m m <br /> Y Y M M !tales f4pon <br />2. Name of Permlltee <br />9. MSHA Number 10. Date of fnspxtlon <br />(Y Y M M D D) <br /> <br /> 3. Street Addreea 11. Slate Parmlt Number <br /> D X 1 ~ G 1 s f ~ o ~ - 0 4 _ ~ I <br /> /. Cit ~ 5. State 22. Name of Mine <br /> TT T ~ <br /> II II II <br />II I! <br />8, ZID Code 7. Area Coda 8. Telephone Number <br />14/ X03 (4_ 9 ~ 13. County Code 1/. State Code t5. Stre <br />~~`1 ~ m te 18. State Area Otltce <br />17. 0.SM Flsld 19. OSM Arss 19. OSM 20. Type of Inspection 21. Joint Inapectlan 22. Inspector's ID <br />Offl~cs No. O~Ifice No. SamDl~ (Code ~ ~ N® f <br />23. Btstus 2/. Type of Activity (check applicable ooxea). <br />K <br />A ~ Type of Permit <br />^ <br />A Steep Slope <br /> <br />E ~ Anthracite <br />8 ® Mine Status (Code) <br />B ~ Mountain Top Removal <br />F ~ Federal Lands <br />C 1 (~ Type of Facility (Code) <br />C ~ Prime Farmlands Jay <br />G ~ Indian Lands <br />D Q , ~ L~ • O Number of Permitted Acres <br />D ^ Alluvial Valley Floors ^ <br />H Other <br />E U c. w C• • U Number of Disturbed Acres <br />25. Performance Standards ICOdes1 <br />Inefruelbnc Indicate compliance coda. For any etanderd marked 2 or 3 provide narrative to supDOrt this determination. <br />Slandsrtle That Limit the Effegfs to the Parmlt Area Standards that Assure Reclamation Ouallly and Timeliness <br />A ~ Distance Prohibitions M ^I Topsoil Handling <br />B ~ Mining Wllhin Parmlt Boundaries N ~ Backfilling end Grading <br />C ~ Slgna and Marksra O ~ Following Reclamation Schedule <br />D ~ Sediment Control Measures P ~ Revegetetlon Requirements <br />E ~ Dsalpn and Cenlllcatlon Requirements.- D ®~Dlsposal of Excess Spoil <br />Sediment Control <br />R ~ Hantlling of Acid or Toxic Materials <br />F ~ Eftlusnt Limits ~• <br />S ~ Mighwall Elhnlnation . <br />G ~ Surlees Water Monltoring <br />T ~ Downelope Spoil Diepoaal <br />H ~ Ground Water Monltoring <br /> <br />I O Blestln9 Proeetlurae U.~a.-.~ ., r.~ •,ti^S ^+• ~ U ~ POSI Minlnp Land Use <br />~- <br />~ <br />J ~ Haul/ACCSee Roatl Dealgn and Malntenanca V a Caseation cl Operations: Temporary <br /> <br />K ©Ratuse Imtwundmsnte C.. •~ •..,` _, rti n` W ~ Other <br />lJ O. ~L\Q.~ c M~ ' •~ <br />L Q Other. Speclly y <br />,.1 <br />~• <br />Dletrlbutlon: Original • Fleltl Office, Green ~ Headqua rs, Blue ~ Stele's Copy. allow - Inspector's Copy. Pink ~ File Copy IE ~ 183 (1/BJ) <br />?. <br />~: <br />i <br />