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COAL BOND COMPLIANCE INSPECTION FORM <br />Mine Q f'/ ,yam, Permittee ~(~~ Cn~ o- <br />Permit No. G - $ U -00 (n Operator ~~~,,,~ s <br />Date ~ ~„~,,,; ,,,,,,, C~~e-~.~ Inspector ,' n nS <br />6-w-~.~ Se.~.~..-err 3 199 (v ~T..~pe~-F,Dv~ <br />Part 4 -Structures/Facilities -Completed at Permit Renewal and Midterm <br />1. List all structures, their composition, rough dimensions, and whether or not they are on <br />concrete foundations and/or footings. <br />Structure Dimensions Composition Foundation Footers <br />name or 1 X w X h steel, concrete, yes/no yes/no <br />purpose cinder block, reinforced vs. reinforced vs. <br /> wood, etc. plain concrete plain concrete <br /> <br />b w ~,~ IdS'~ f ~OO~w <br />x ao' k <br />~"~~ .ems <br />~ ~ <br />y <br />' '°° <br />Y <br /> f <br />a <br />~~ <br />~ l rcx, (crS 8~.x a ~ " s'-!\ ~~ a-...f' ,~..v ne <br /> to<ao~¢,rt S' wocr~. <br />M; ~..-~ <br /> <br />ti; ~ Ham- ~ o' ~. s~..e,- <br />~o <br />6w,bl. ~ p.C,. _ y fie,'' ~l F+ <br />CL CJ~] ~ ;, ~4 x ~ f <br />bQ ~ ,~~~ <br />' <br />' <br />' f e:.~ ~ -~crF w5 <br /> wK~ro <br />~3~ <br />,l.xla SCo4..e..~~ nyEt. <br />[LO~] <br />.d <br />d~ <br />F2ecCS <br />~~~u.r' l O' a ~ O' ,c S'h s-Fz~Si. m~ .r.~ <br />LO~ <br />d~ <br />-r I o'~.,, x ~ a ~ SL ~~ ~i~.d- <br />, <br />C Lod <br /> <br />~~~ <br />P~ <br />