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., ~._ ~ ~ III IIIIIIIIIIIIIIII <br />a ~ I '~ P•pe 1 0l 1 Papea <br />United States Department of the Interior~CT 12198 For Office Use Only <br />Office of Surface Mining <br /> <br />Mine Site Evaluation Inspection Report MINcD LAN ,a <br /> <br />~- tD ,p <br /> RECLAMATION DI 15I m <br /> Y Y M M BdtCn RlDOri <br /> 10. Dale of ln9peClion <br />2. Name of Permlttee 9 MSHA Number (r Y M M D D) <br /> <br /> '~ ~ r fi ~ ~ n n ra ~ a r a o ~ _n -~ ~ - - ~ ; r i~ 2F <br />3. Sirlei AddrB99 11. Stale Permit Number <br /> ~ c 5 43 91 R° n :~ n A ~ 7 ~ ' G' I - O <br />4. CI[y 6 t2. Name of Mine <br /> / ~ ~ ~ <br /> <br />~ <br />'L. <br />- <br />O <br />m <br />iG~ ~ <br />~-I~i~,~`/I III-'7V <br />_F <br />!_ <br />K <br />;Ii <br />A.I <br />,uI . <br />I`"h"I ~ <br />~K <br />6. Zlp Cooe 7. Area Code 8. Telephone Number ~trata <br />13. County Code t4. Slate Cope t5 State Area Ollice <br />16 <br />wn t '~- ~^~~-zR00 m <br />^~ CAD ~ ~ I ~ <br />W <br />17. OSM Field 76. OSM Area 19. OSM 20. Type of Ir.spe^_lion 21. Joins Inspection 22. Inspector's ID <br />Office No. Office No. Sample No. <br />~ (Cotle) Yes no <br />~~ X No. <br />!% ~ `! ~ / n <br />23. Status 24. Type Dt Aptivily (p'ieck applicable Doves). <br />A m Type of Permit <br />A ~ Sleep Slope <br />E ~ Anthracite <br />6 ~ Mine S[atus (Cotle) <br />B ~ Mountain Top Removal <br />F I ~.I Federal Lands <br />C ! ~ Type of Facility (Cotle) :F r <br /> C ~ Pnme Farmlands G ~ Incian Lands <br />D /~ ~ (; ~ ~^. • ~ Number of Permittetl Acres <br />D ^ Alluvial Valley Floors <br />H ~ Other <br />E I~ Z 5 ~ - • ~ Number of Dist urDetl Acres <br />25. Perlormance S'andards lCotlesl <br />Inslructlonc Intllcate compliance cope. For any stantlard marked 2 or 3 Drovitle narrative to support this Oeiermmatnn. <br />Stantlaas Thal Limit the Etlecis to the Permit Area Siantlartls That Assure Reclam 3L'on Ou3hly antl Timelineps <br />A ~ Distance Prohlbilions M C Topsoil Handling <br />B I^ Mming Within Permit Bountlanes N ~ Back!illinq and Gratling <br />C ~ Signs antl Markers O L Following ReclamaLOn Scnednle <br />D 1~ Sediment Control Measures P ~ Reveyetation Requirements <br />E ^I Design antl Cenificatlon Requirements- O ~ Disposal of E%cess Spoil <br />Sediment Gonirol <br />R ~ Hantlling of Apip or To%ic Materials <br />F ~ Elfluent Llmlts <br />5 ~ Hignwall Elimination <br />G ~ Surface Water Monitoring <br /> T ~ Downslope Spoil Disposal <br />H ~ Ground Water Monitoring <br /> U ~ Post Mining Land Use <br />I ~ Blasting Procetlure9 <br /> V ~ Cessation of Operations' Temporary <br />J ~ Haul/ACCe99 Roatl Design antl Maintenance <br /> <br />K © Refuse Impoundments W ~ Other <br />L ~ Other: Specily <br />DI9IfIDpIIDp: Original ~ Field Ollice, Green ~ Headquarters, Blue ~ Si ace's Copy. Yellow InspecloYS COpY. Pints Fiie Copy IE ~ 163 (v831 <br />