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Paae Z of 2 Paoes <br /> United States Department of the Interior <br /> Office of Surface Mining <br /> Mine Site Evaluation Ins pection Report <br /> <br />4B. State Permit Number 27. Date of Inspection <br /> (YYMMDD) <br />G o f -- ~' <br /> <br />2B. Yes N Do mining and reclamation activities on the site comply with the plans in the permit? <br />^ It no, provide narrative to su ort this determination. <br />29. Indicate number of complete and partial i nspections conducted by the State tc date for this annual review period: <br />29a Number of Completes 29b. ® Number of Partials <br />30. Indicate number of complete and partial Inspections required by the State during this annual review period: <br />30a. ~ Number of Completes 30b. m Number of Partials <br />31. Has Inspection hequency been met? <br />Yes No Yes No <br />31a. ~ ^ Completes 31 b. ^ Partials <br />32 FEDERAL ENFORCEMENT INFORMATION. [Enter violation number. Check appropriate box(es)) <br />Ten-0ay Notice No. Notice of V iolation No. Cessation Order No. Violation Codes <br />A ^ ^ ^ Authorizations to Operate <br />8 ^ ^ ^ Signs and Markers <br />C ^ ----- ---------------- ^ ...... ............... ^ .... .................... Backfilling and Grading <br />D^ ^ ^ Highwall Ellminatlon <br />E ^ ..... ................ ^ ...... ............... ^ .... .................... Rills and Gullies <br />F ^ ^ ^ ImDroper FIIIs <br />r' ^ ..... ................ ^ ...... ............... ^ .... .................... Topsoil Handling <br />H ^ ^ ^ Sediment Ponds <br />I ^ ••... ..-..•----..---. ^ ^ E7fluent Llmita <br />J ^ •••_• .....•..•..-.... ^ ^ Water Monitoring <br />K ^ ^ ^ .... .................... Buffer Zones <br />L ^ ..... ................ ^ ...... ............... ^ .... .................... Roads <br />M ^ ..... ................ ^ ...... ............... ^ .... .................... Dams <br />N ^ ..... ................ ^ ...... ............... ^ .... .................... &asting <br />O ^ ^ ^ .... .................... Revegetatlon <br />P^ ^ ^ Spoil on the Downslope <br />O ^ ..... ................ ^ ...... ............... ^ .... .................... Mining Without Permit <br />R^ ... .. ................ ^ ^ Exceitdktg Permit Limits <br />S ^ ^ ^ Distance Prohibitions <br />T ^ ^ ^ Toxic Materials <br />~ ^ ..... ................ ^ <br />...... ^ .... <br />............... .................... Other Violations <br />~ Mme of Authori~d.Representatlve (print or type) 34. Administrative Information <br />r / v"r v <br />Sig~uture o fgrized Re resentative Dat a . y Permit Review (Hours) <br />Q, ~ z b ~ Travel Time (Hours) <br />Signature o- Oflic to c p • Inspection Time (Hours) <br /> d ~r.1 Report Writing Time (Hours) <br /> <br />