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Qp~,,E ~~~ ~FZ U. S. DEPT. OF THE INTERIOR (P, ~d'it ~~~ ~~~~~~~'~~~~~~~~ <br />a ~ m <br />~_ 'OFFICE OF SURFACE MINING RECLAMATIONAND ENFORCEMEl~ c: a 999 ~,, <br />y,A~N , ;°•° Mine-Site Eva~r~ ~y~spection Report ~°= <br />2. Address <br />3-City 4. State <br />sod <br />5. Zip Code 6. Phone Number <br />L~LL1e~1UJ-~ ~-® 5(o D <br />7.Operator if Different than Permiace <br />8. Mine Name <br />it Number <br />/~~ 4n~ nn7 <br />~[, j~xtion Date 12 Inspection Type <br />r ~ -m-® ~ <br />NN - DO 1T <br />14. Pem(rmit Status <br />Lf1U <br />17.OSM Office # <br />A. M.S.H.A. ID # <br />I5. Site Status <br />I8. RSI # <br />~ 7 <br />21, State Cade <br />®- s 9 <br />23. AVS Permittee Entity ID Number <br />II 8 <br />10. Type <br />>L Permit b. RA <br />13. 7ointInsptxtion <br />© YiN <br />16. Facility Type <br />19. Land Cade <br />22. County Code <br />.. <br />II ~ 24. Performance Standard Categories II <br />Codes: l=Compliance, 2=Noncompliance, S~iot Planned, 4=Not Started, b=Noncompliance Identified Elsewhere <br />A, Admiaistrafive D. Backfiring & Grading H. 3Subsidence Coatrol Plan <br />1~! Mming within Valid Permit <br />2 i Muting within Bonded Area <br />3. i Tams & Conditions of Permit <br />4.~L.iability Ittsurattce <br />S.~Ownerslup and Control <br />6._,J_Temporttry Cessation <br />B. Hydrologic Balance <br />,:,..,t,,.....•s' L Roads <br />mporancotts Rxlatnation 1, I Road Consaucdon <br />udatate Original Contotu <br />vall Plitainanon 2• ~CetlifiCation <br />Slopes (includes downslope) 3 / t°'or <br />ing of Acid & Toxic Materials 4^-- ~ Sotfacing and Mai"tcnanu <br />i7anon (rills and gullies) 5.1~teclamation <br />1.~Dtainage Control & E:oess Spoil Disposal <br />2 f Ltspections & Certifications 1 ~ Placemeru <br />3.! Silratioa Strucnucs 2! Drainage Control <br />4,1,Dischazge Saucatres 3,.! Stnface Stabdizaaoa <br />S~Diversioas 4! LLeoxtians & Certifications <br />-~~ ~~ <br />LCnamd Warm Monitoring <br />7. F. Coal Mine Waste <br />. <br />s, I staface watrr Moaioortttg (~a~ Piles/Impoundmeats} <br />Acid-Toxic Materia ls <br />~ <br />3 <br />10.,y tabdizadon <br />2 <br />S <br />11L3 SasamBafferZones 3.~lacemeat <br /> 4 Lspectioos and Cettificadons <br />C. Topsot7 & Sabsot7 t S~potmdmg Saucnurs <br />~~ Materials <br />~ G. Use Of Faplas'{{vves <br />ifi <br />i <br />l <br />h <br />C <br />3 Storage cad Ptntection tster <br />cat <br />on <br />~ <br />ert <br />4,~~tedistdbation ~~~^"r Pmhibi6ons <br /> 3LBlast Survey/Schedule <br /> 4`Warnings dt Records <br /> S~Control of Adverse Effects <br />?S.Inspedion Frequency 26.Inspedion Hours <br />aometatas ®-®® <br />Sine Crnpleta - <br />Yapeubu 03 <br />® <br />Permit Review <br />a <br />1?Fegsettt~ for prerlooa! Calendar Qtrt <br />~Nt®bc of Nr®6er of . <br />. <br />~ ~ <br />a <br />b <br />ti <br />Ti <br />l <br /> <br />trgaited <br />complete <br />~ <br />oao>plere <br />mspetawe , <br />. <br />. <br />urpx <br />on <br />na <br />mWecVOne ooodaaed <br />a Traver Tune <br />e N®bQ of Ntmber of ' <br />~~ ~ (,p ~~~~ ~ ~ ~ ~ d Report Writing <br />]. Signs & Markers <br />I. f Signs <br />2 I Markeas <br />K. !Distance Prohibitions <br />L. Revegetalion <br />I,LVegetative Cover <br />2,_(_Timing <br />M. ~Postmiaing Land Use <br />N. Outer <br />-3) <br />:7. Bonded Acres <br />~ Total <br />~•~ bwded <br />b. Phue I <br />tekased <br />~aP1uuII <br />released <br />.~d. Pltau III <br />teleared <br />28. Acres <br />~~® a. Paatiued <br />Q (~ a b. Diswrbed <br />lP~um.ted) <br />1 of ~ <br />