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<br />Page Z of 2 Papea <br />~ `' 1r <br />United St_. of the Interior <br />Off f Surface Mining <br />' Mine Site" nation Inspection Report <br />2& State Perrnft Numfxr 27. Date of Inspection <br /> YMMDD) <br />- ) - 0 3 ~ i a ~i / <br />?& Yes No Do mininp and reclamation activities on the alto comply with the plans In the permit? <br />19. ^ If nD, rovlde,nartatlve to au ort this determinatlon. <br />7B. Indlaste number of complete and paAlal Inspections conducted by the State to date for his annual revlew period: <br />~ <br />/N Fve'ni/! 1. u d ,v0 - /; ~~ ~ ~ ' ~ ,~.: : iM <br />i c it ,:.L'G /.v i p a i+ <br />2Ba m Number of Completes . 29b. m Number of Partials <br />30. IMlcate raanber of complete and partial Inspections required by the State during this annual revlew period: <br />30a m Number of Completes ~ 30b. m Number of Partials <br />31- Has Impsctlon frequency been met? <br />Yes No ~ . Yes No <br />31a ^ ~ Completes 31 b. ~ ^ Partials <br />32 FEDf31A1. ENFORCEMENT INFORMATION. [Enter violation number. Check appropriate box(es)] <br />Tan-Day Notice No. Notice of Violation No. Cessation Order No. Violation Codes <br />A ^ ^ <br />...................... ........... <br />...... ^ Authorizetlona [o Operate <br />.... <br />_ <br />B^ - ^ J -. _, ^ ........................ Slgna end Markers <br />C^ ..................... ^ ................. .... ^ ........................ Backfllling end 6radinp <br />~^ ..................... ^ ................. .... ^ ........................ Hlghwall Elimination <br />E^ ..................... ^ ....-.... <br />..... <br />. .................. Rills and Gullies <br />.... ^ ..... <br />. <br />. <br />F ^ ................... . . ^ ................. . <br />.... ^ ........................ Improper Fills <br />Ca^ ..................... ^ ................. .... ^ ........................ Topsoil Handling <br />H ^ ^ ~ .,.......- „ -.,..,-.,-.. Sediment Ponds <br />1 ^ ^ ^ ........................ Effluent Limlls <br />J^ ^ ~ ........................ Water Monitoring <br />K^ ^ ^ ........................ Buffer Zones <br />~ ^ ..................... ^ ................. ........................ Roads <br />....^ <br />M^ ..................... ^ ................. 7 <br />.... ^ ........................ Dams <br />N^ ..................... ^ ................. .... ^ ........................ Blasting <br />O^ --------------------- ^ ^ Revegetation <br />P^ --------------------- ^ ^ SPOII on the Downslope <br />O^ ^ ^ Mining Without Parmlt <br />R ^ ~ ^ Exceeding Parmlt Llmlts <br />S^ ^ ~ ^ Distance Prohibitions <br />T ^ ^ ^ Tozic Materials <br />U^ ^ ^ ........................ Other Vloletions <br />33 N AuUwriaed epreaentatlve (print or type) <br /> <br />Slgrwture~ f Aufhormed Repreaentatlve Date ~~ [~ -' <br /> <br />Sigrrature ottRevietring Official Date r y <br />r '~--- °S- ' - G y O <br />v <br />Dbeeullore Original - FIeIA OHlce, Green - MeaOquartars, Blue -State's Copy, Yellow - InsDector's Copy, Pink - Flle Copy IE • 183 (7189) <br />