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~ ~ COAL BOND COMPLIANCE INSPECTION FORM <br />Mine~~kv.~, i"1,v..~ Permittee ~~-,,, ~„~„Q C~ <br />Permit No. ~ _ $ I_ p~ i Operator ~,,~„~_ <br />Date ~ /9 [„ Inspector ~ ..,,, ~-,c' 7 I ~,,,...~ <br />~` <br />Part 1 -Contemporaneous Reclamation - To be completed at least annualty <br />Backfilling and Grading <br />Compare the following field conditions to approved plans using the reclamation cost estimate, <br />mine plan/operations plan maps, post-mining topography maps, and maps from annual reclama- <br />tion reports, etc. Write a brief description of any observed discrepancies. <br />1. Number of open pits, portals, mine shafts, and/or adits. ~~ ~SU ,,.,-~ ~P ~...~~~~ <br />, <br />~a.~. c_e. ,.s-~u-n .L'-~ <~~._..~:f i-,r_ I~ '~ ` I ~--.-~ I ~ S c~'. (, ~ V o o cl~ Gl., ~ . ,-.. <br />+' c. , Ic `' ~ ~ rid' G-c c~.~-~ ~ ,..~ yr ~' -'~-r~ (E ~cti, , e.~' . ~ ` ~C <br />~ l0/3°/ <br />l.a. Approximate dimensions of pits/openings. <br />/l//~ <br />2. <br />3 <br />4. <br />Number of spoil ridges at each pit, or time elapsed since the pit was last active. N ~- <br />Are there existing subsidence features that require backfilling and grading? ~~ <br />List refuse areas and their locations. N~- <br />