INSPEC31330

• Permit No: C1981020
• IBM Index Class Name: Inspection
• Doc Name: COAL INSPECTION REPORT
• Inspection Date: 8/3/2001
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department o(Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: (30l) 832-8106
Date 8'1 3~e ~
AVS Annual Review
Inspection Worksheet
Mine Name/Permit Number ~ r~-~
Inspector Signature
Based on your ON-SITE Observation, please answer the following:
1) Mine H) sign
a) Permittee Lar.~~ r'~~~C.
b) Operator SCE ~ P
c) MSHA ID (75 ~ O~ ~f 4 (not required to be on sign)
2) Direct inquiry (of persons on the s//ite)
a) Permittee ~aa~C~T~' ~L/9r( (~-aC _
• b) Operator G,o c/lCJ l'br / ~1/P~'9~r ~~e,_
c) MSHA H) ~~~' D'31~Q
DI VIgION OF
MINERALS
GEOLOGY
RECTA MATION
MI NING•SAFETY
Bill ovens
Governor
Greg E. Walther
Executive Director
Michael B. Long
Division Director
3) Is ownership/control information for Permittee and operator noted in field consistent with
what is listed in the permit apphcation? Yes t/ No
If No, what is in conflict?
DMG is required to verify this information as specified in the AVS MOU if the permitting action was
approved subsequently to the MOU (renewal, transfers and revisions). Annually as long as coal
extraction from the site has not been completed, DMG must determine whether officer/controller
information is complete and accurate in AVS. In making the determination of complete and accurate
information, on-site observations and direct inquiry of persons on the site is necessary. The information
on this form will be verified with AML, MSHA, and EIA information in AVS. Please return the form to
Johanna Cramer to be verified in [he AVS.