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°trpa ] or ] f•p~~ <br />T ~ <br />" ... <br />United States Department of the Interior <br /> Office of .Surface Mining <br />- - --..: = - - Mine Site Evaluation Inspection Report . <br />2B State pbrmtl Numbsr ~~ - ~ - . ~ ~ ~ 27. Date of Inspection <br />_. .. (YY <br /> <br />~ t7 ~ <br /> <br />u <br />O <br />7H. Yaa. ~ No Do mining and reclamallon activltles on the site comply with the Plans In the permlt7 - <br />^ ^ If no, rovide namatlve to au Dort this datermination. <br />2g. Indicate number of carnpbta and Darlial inspections conducted Dy foe State to date for tors annua! renew penotl: <br />:~ ~~ ~ ®Numl»r of Completes ~ ~ - 29h. ~ Q© Number of Paniels ~~ <br />3d Irdleale number of complete antl partial Inspections requued by the State tlurinp this annual review pertotl: <br />~- 3lle. ®Number of Completes ~.- ~~ .. - ~~~ ~ ~ 30b. ~ Number of Partials <br />31. Hsa Inaperllon frequency been matt ~ ~ ~ _ : <br />Yea ~ No .. Yes NO .. - ... ~ . <br />3'1a. ~ ^ Completes ~ ~ ~_ .. 31b.~~ ^ ~ Partials ~ .. ~ .__ <br />32_ FEDERAL ENFORCEMENT INFORMATION. (Enter violation number. Check appropriate box(es)] ~~,~ ~ ~ - ~- <br />Ten-0ay Notice Ho.•~~:~ ~' ..~~ Notice of Violation No.- Caseation Order No,~;: ~.~ ~ Violation Cotles <br />• A -:_'.~. -- . --- -~~-....,_'~ . ~ ...~ _ -:.. .._ . ~~ -_ _ o Operate . <br />Authorizations t <br />.:. - ~-.- -.... - ~ _ .. - ~'_..:; ~.': ... - ~_ Slpns and Markers: <br />C •• -" _ - ~ Backfllling end Gradinp.~.. -~~ <br />_ D A ..~.L _ <br />^: ~ :~: _~:::.::.~_.: _~. <br />,,- Y ._.-'. <br />^ '::1 :.1V.::.__v ~::..,.:~:- ^'~-~.i~o~.-, .".. `-~. .' ~::.~ .. <br />^°'`~` Hiphwell Ellminalion : ~ ... <br />. <br />7` <br />: <br />, <br />` <br />~^~ ^':.~:.~._. ;::::::~ ^~-~ ......:..:....r.~........ <br />.: i~_. ~-RIIls and GuUles -~~:~~~ - <br />_._... <br />.._.. <br />__.._ <br />_ <br />._. <br />~___.__.~:: <br />_ <br />_. <br />F^~~ ..:'....:. <br />^ _ <br />............::.:........ <br />~._: <br />: ....._.. <br />^ , <br />~~ Improper Fills ~ -~ ~- - <br />. <br />._.__ <br />__ <br />_ <br />- G^~ <br />__________'...~ <br />_ <br />__ . <br />^ .:..... . <br />. <br />: :-. <br />.......~....... ^ ........................ Topsoil Hantlllnp - <br />._ <br />__ <br />_ <br />- - ~ - .Sediment Ponds . <br />1 ~ ~ ~ ~ -- _ <br />_c. <br />~ - ~ ~ ~ <br />_. <br />~ E.9luent Umlts <br />~ ^ _______. ~ ~ .._ ^ _. _. ^-.,-. ~ ~ Water Monitoring _ <br /> <br />- L ^ :..~.:_~._. ~;: _:_... ^~....... ..~_.........., ^ -....._.. --~---......... ~ Roads .. ,- .. <br />_ _ _ <br /> <br />M^.-. ~_ <br />-__c.~..__._. <br /> <br />^~...:.. _ <br />- - <br />...~.......__.. ^ .... :.....:......:....~ _. <br /> <br />. Dams - ~ - .. <br />_ <br />.. <br />H^ _______ ....:... ... <br />^ -.._... _ <br />._._._........ ^ ..... _................_~. - <br />..~ Blasting <br />. . <br />p ^ - ~- ~- -•~: ~ ~ ' ^ ~ ~ ~ ~ ~ ^ ~ - ~ ... -..- SPOiI on the Downstage <br />O^ ~ ~ <br />..................... ^ <br />....... ^ ........................ <br />.............. Mining Without Permit <br />r~ <br />R^ .... .. ............... ^ ....... .............. ^ ........................ Exceeding Permit Umlts <br />S ^ ^ ~ Distance Pronibttions <br />T ^ ~ ~ ~ . ^ ^ Toxic Materials <br />U ^ ~ ^ - ~ ~ Other Violations <br />33 Name of Autlariad Representative (print or type) _ <br />-3t 12 <br />~ A l ~ ~ - <br /> <br />Signature of Aut}grimd Representative <br />Date O Z . <br />S .. <br />..: ` <br />: <br />~ <br />~ .~ W ~. nom... 1 l / t X33 , a s. ' <br />o <br />~ . <br />w;: <br />Sipnatu <br />rero <br />f R-eviewing Official ~ Dater ~ 8 0 <br />~ <br />~ <br />',i r _ " <br />C Z . <br /> <br />