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y' Papa Z of Z Papee <br />~' <br />L <br /> <br />r~ ° a <br />~~, <br />United States Department of the Interior <br /> Office of Surface Mining <br /> Mine Site Evaluation Inspection Report <br />26. SUt! tparrMt Ntmtbx 27. Date of Insbection <br /> (YYM MD D) <br /> <br />2& Yea No Do mining and reclamation activities on the site comply with the plans In the permit? <br />^ If de nartatlve to su ort this determination. <br />~D. Irrdlcats nunrbsr of complete and partial Inspections conducted by the State to date for this annual review perlod: <br />2sk ~ Nmober of Completes ~ ~ 29b. m Number of Partials ~ <br />30.1rrdicate trurrt6sr of complete and partial Inspectl, ns required by the State during this annual review perlod: <br />3ga. Number of.Completes 30b. ~ Number of Partials <br />37. Ffaa Irupetti0n frequency been met? ' <br />YM No Yes No <br />31a ^ Cempbtea 31 b. ^ ^ Partials <br />32 FEDERAL FJiFOHCEMENT INFORMATION. [Enter violation number. Check appropriate box(es)] , <br />TertDay Pbtiee No. Notice of Violation No. Cessation Order No. Violation Codes <br />A ^ ^ ^ Authorl=atlons to ODerete <br />B ^ ^ ^ Signs and Markere <br />C ^ ......... ............ ^ ...... ............... ^ ........................ Beckfllling and Greding <br />D ^ ......... ............ ^ ...... ............... ^ .................... Highwall Elimination <br />E ^ ......... ............ ^ ...... .............. ^ ........................ Rills and Gullies <br />F:^ ......... ............ ^ ...... <br />........................ <br />............... ^ Improper Fills <br />G ^ ." ....... ............ ^ ...... ............... ^ ........................ Topaoll Handling <br />N ^ ......... ............ ^ ...... ............... ^ ........................ Sediment Ponds <br />1 ^ ^ ^ ........................ Effluent Limits <br />J ^ ^ ^ ........................ Water Monitoring <br />K ^ ^ ^ ........................ Buffer Zones <br />~ ^ ...." .... ............ ^ ...... ............... ^ ........................ Roads <br />~ ^ ......... ............ ^ ...... ............... ^ ........................ Dams <br />N ^ ......... ............ ^ ...... ............... ^ ........................ Blasting <br /> <br />V ......... <br />............ ...... ........................ <br />............... Reve elation <br />g <br />p'^ ^ ^ Spoil on the Downelope <br />p^ ^ ^ Mining Without Permit <br />R ^ ^ ^ Excaedinp Permit Limits <br />S^ <br />Distance Prohibitions <br />T ^ ^ ^ ........................ Toxic Materials <br />ll^ ... " ..... ............ ^ <br />...... ^ ........................ <br />............... Other Violations <br />33 Nsme of AuMrorjbd Representative (print or type) <br />~.~:. ~~',~Z <br /> ~ ~ S <br />Sigyt[ure of Representative pate ~ <br />r.ra~ - r J!i i,-~f L.~ .1 -~ <br />signature m ~ ipg oeiclal pate r, ~ ~:~ <br />` _~ <br />i <br /> <br />l <br />I <br />1 <br />Dbhibuliprx Ofipinal - Field Olllce, Green -Headquarters, Blue -Slate's Copy, Yellow -inspector's Copy. Pink - Fne Copy IE - 169 (1189) <br />