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~ - ~~~~~~~ III IIIIIIIIIIIIIIII <br />999 <br />1 n 1n07 - -~-~_ <br /> <br /> <br />United States Department of the In I~:r <br />terior <br />i rC. ~,.` 1~`i:L J <br />~wJtQt?~ <br />'fitJ~ <br />Use Only <br />Office of Surface Mining ~ECLH~ : <br /> <br />Mine Site Evaluation Inspection Report ,a ,b ,p <br /> Y Y M M 9alch Repon <br />~• ,~ <br />2. Name of Permitted ~ ", %~ . T .-.,.w_ ~K y <br />9. MSHA Number 10. Data of Inspection <br />(V y M M D D) <br /> <br />Y <br />~_ <br />- <br />I <br />i _ <br /> <br />._ _ <br />~ r- <br />J ~ _ ~ -, <br />~ , <br />r_ ~- _ ~ <br /> 3. Stree[ Atltlrass 11. State Permit Number <br /> <br /> 4. City 5. State t 2. Name of Mine <br /> <br />B. Zip Coda 7. Area Code 8. Telephone Numoer 13 County Code- <br />1 <br />4 <br />t <br />le Code <br />15. S <br />tr <br />S <br />a <br />ata 16. State Arca Oflice <br />.-. is ^t L.. if - ~ ~ ~ - <br />- <br />D <br />II <br />II <br />-~~~ <br />, <br />-1 <br />, <br />~ I' ~ I I I I <br />I ~ <br />t7. OSM Field 76. OSM Area 19. OSM 20. Type of insuechon 21. Joint Inspection 22. Inspector's ID <br />Olllce No. Olllce No. Sample No. <br />m a ~76 (Code) Ves No No. <br /> ~ ~n ~ <br />23. Status 24. Type of Activity (check applicable boxed. <br />A ~ Type of Permit <br /> <br />B ® Mlne Status (Code) A ~ Steep Slope E ^ Anthracite <br /> B ~ Mountain lop Removal F ~ Fetleral Lantls <br />C n Type of Facility (Code) <br />C ~ Prime Farmlands <br />I <br />G <br />i <br /> <br />D Q [) ? • Number of Permitted Acres ~ <br />ntl <br />an Lands <br /> D ~ Alluvial Valley Floors H •I,~yI Other <br />E O O ~ ^ ~ • Number of Disturbetl Acres ,"~' r ~ V'- ~ <br />25. Perlormance Standartls ICodesl <br />Inatrudlon•: Intllcale comDllance code. For any stantlard marketl 2 or 3 prowcle narrative to support this tleterm inatinn. <br />Standards Thal Limit the Ellects to the Permit Area Standartls That Assu•e Reclamal:on Ouolity and Timeliness <br />A ~ Distance Prohibitions M ~ Topsoil Handling <br />B ~ Mining Within Permit Bountlaries N ~ Back!ill~ng anD Grading <br />C ~ SIgn9 antl Markers O ~ Following Reclamation Sclietlnle <br />D ~ Sediment Control Measures P i~ Revegetat~on Requirements <br />~~ <br />E ~ Design and Cartlllcallon Requirements- <br />SedimentCOntrol 4 <br />( <br />t <br />( <br />o <br />~ <br />F~s' 0 44®- <br />Disposal of Excess SDOII T'a'~° ~"- <br />, <br />~} n,{ <br />... <br />-~... <br />a- <br />r R ~ Handling of Acid or Toxic Materials <br /> <br />rte..,. - J <br />F © Ellluent Llmlt• <br /> <br />G ~ Surface Wetar Manitoring ;'~, ~ c .-d5 n u r c. J.. I ^~ n Hlghwall Elimination <br />cJ--+u <br />f <br />" <br /> <br />w <br />' <br />I <br />H ~ Ground Water Monitoring <br />-,._c <br />rS not :"tiJ •r• T ~ DOWnsIODe Spoil Disposal <br />cam. <br />~'a~ r <br />-rte <br />, <br />nv <br />1 <br />I ~ Bleating Procedures ('>C.o/'tl.= r~.n~' y'cJ.' U ~ Post Mining Land Use <br />~.ucd <br /> <br />J ~ Haul/Access Road Design and Maintenance V © Cessation of Operations: Temporary <br /> <br /> <br />K ~ Reluse Impoundments G ~ r-~ ~ .~-o}' ~C~' H-~rL W ~ Other <br />. <br /> <br />L ~ Other: SDxlfy ,9 <br />Distribution: Original -Field Ollice, Green ~ Headquarters, Blue -State's Copy. Yellow ~ Inspector's Copy. Pink ~ File Copy IE ~ 163 (7/fiJ) <br />