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RE III <br />CEIVE~ <br />IIIIIIIIIIIIIIII °°~ ~ <br />Pape t o~ ~ Papea <br /> s ~ss~ <br />United States Department of the Inter~gISION OF For Office Use Oniy <br />Office of Surface Mining MINERALS & GEOLOGY 1a ,b ,p <br />Mine Site Evaluation Inspection Report ~ ~ m <br /> Y Y M M 9atch Report <br /> 10. Date of Inspection <br />2. Name of Permittee ~ 9. MSHA Number ~ (V Y M M D D) <br /> 1_. S 'F' a r >n m~ d ~ ~ <br /> 3. Street Atltlress ~ 11. Slate Permit Number <br /> <br />. SS <br />d. City ~ <br />t <br />a <br />t <br />e ~ 12. Name of Mine <br /> I~ <br />f` <br />l <br />} <br />-y <br />GIJ <br />I <br />5 <br />"f~ l~I OI __ <br />I T I <br />~~~LJ <br />6. Zlp Code ~7~.jA{{r~ea~ Code 8. Telephone Number <br />® CJ_LJ II11/,3.,IyC~o~'uI~ntyll CotleQfl..d~m~S~ta~~le Code ;~t5~'~SIr illala <br />L7~J ~J-1 L1J 16TStalle Aroa Office <br />17. OSM Field 78. OSM Aree 19. OSM Z0. Type of Inspe^_lion 21. Joint Inspection 22 Inspector's ID <br />Ofllce No. Ollice No. Sample No. (Code) Yes No No. <br />23. Status 24. Type of Acuvily (check applicable coaes). <br />A ® Type of Permit <br />A ~ Steep Slope _ <br />E ~ Anlnracile <br />B ® Mlne Status (code) <br />0 ~ Mountain fop Removal <br />F ~ FRtleral Lands <br />C ® Type o! Facltlty (Code) <br />C ~ Prime Farmlands <br />G ~ Indian Lantls <br />D ~ ~ • Number of Permitted Acres <br />D ~ Alluvial Valley Floors <br />H ~ Other <br />E p • Number of Disturbed Acres <br />25. Performance Standards IGodesl <br />mMruetl•nc Indlcata comDllance code. For any atantlard marked 2 or 3 prorlde narrative to suppor( this Determination. _ <br />Standards That Limit the Ellects to the Permit Area ~ ~ Standards Tnal Assure Reclamation Quality antl Timeliness <br />A a Distance Yronibltions .. M ~ Topsoil Handhnp <br />B © Mining Wfthfn Permll Boundaries ~ N ~ Back!ilhr~q aria Grading <br />' Signs antl Markers <br />C ` <br />' O I]-~ Followmp Reclamaton Schedule <br />1-- <br />Sediment Control Measures _ <br />D 4©,- P W Revegelation Requiremems .. ~, <br />E ~ Design antl CeAlllcallon Requlr•menls- D ~ DISDOeaI of E:cess Spoil , „ <br />Setllmsnt Control <br />,.y <br />F'' <br />Effluent Llmlta S <br />a <br />~^ <br />' <br />R ~ Handling of Acid or Toaic Materials - <br />~~ <br />~ <br />te. <br />d / <br />Q r <br />'!'1 <br /> I~ <br />~ <br />S `/-~ Highwell Elimination <br />4-J <br />G ~ SuAace Water Monltorlnp T ,.~ Downslope Spoil Disposal <br />H ~ Ground Water Monltorlnp <br />r `~ <br />1 ® Blastlnp Procetlures~ ~~- S r ~ U ~ Post Mining Lantl Use <br /> V ~ Cessation of ODerations: Temporary <br />~ <br />~ <br />J m HaullACCeas Roed Design and Maintenance <br />v--+ <br />~ <br />/ - <br />W ~ Other __ ~ '"l ~ `: ^ `~ <br />- <br />q~-~ <br />ry <br />~ <br />K © Reluae Impoundments'-'•`•a'f. 7Y~/ ~ ~ ~ ~~~ ' <br />L ~ Other. Specify ~ - ~•~ •a~' -- <br />Distribution: Original ~ Field Office, Green ~ Heatlquaners, Blue -Slate's Copy. Yellow ~ Inspector's Copy. Pink ~ File Copy IE ~ 16311/83) <br />