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COAL BOND COMPLIANCE INSPECTION FORM <br />Mine ~~ f Iv1; ~L <br />Permit No. ~- $U'O0(~ <br />Date ~,9 ~ , r,~ t9°)(~ <br />Part 3 -Support Facilities/H dy rologic Structures - <br />Permittee ~ ~',~~~ <br />Operator ~r,.,,~~ <br />Inspector <br />To be completed at Permit Renewal and <br />Midterm <br />1. Verify that all roads are documented in the permit. If not, list all undocumented roads and <br />their approximate width and length. Verify the type of surfacing used on each road <br />(gravel, asphalt pavement, etc.) <br />2. Verify that all ditches and diversions are documented in the permit. If not, list their <br />width, depth, and length. <br />~J <br />3. Verify that all culverts are documented in the permit. If not, list their diameter and length. <br />. <br />4. List the location, type of opening (drift, shaft, incline), and dimensions of all mine <br />openings. <br />~' <br />