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<br />~ ~~. <br />?age c m .Pages <br />t~Ittr3d S,}< - <br /> <br />-- ~ MIneS ' hlspet:fr~rE~pook - . <br /> ,~..,; <br />,,,. <br />~ <br />-. <br />, <br /> <br />~. Sfata PermlCNrhrtbe~". ~~:,~~ri+.i.; _ ' ~ <br />-4 <br />,~ <br />' <br />tlOn <br />r <br />DaC <br />~.,. .~~ jO : 21f. Oa~l M< <br />< M D p <br />~ U <br /> ~ <br />~ <br />7A - No- DiF mliting and reclamation acNvHlee on tits alts eompty with the plena In the permit? <br />^ If no rovlde narrative to su this detertnlnaHOn. <br />2g. In Icats number of compMte and.parNd Inapeotlons conducted by the Stets to date for this annual review period: <br /> <br />29s. Number of Completes ,,,,~ <br />29b. /~ Number of Partials ~'~7~ ~~ <br />30. Indicate number of complete end partial Inapectlona required by the State dudng this annual review period: <br />3lle. ®Number of Completes 3gb. ®Number of Partials <br />31. Hsa Inapectlan frequency been met? <br />Yee No Yes No <br />31a~ ~ Completes 31 b. ^ Partials <br />32 FEDERAL ENFORCEMENT INFORMATION. [Enter violation number. Check approDrlate box(es)] <br />Ten-Day Notice No. Notice of Vlolatlon No. Cessation Ober No. Vlolatlon Codes <br />A ^ ..................... ^ ................. .... ^ ........................ Authorfzatlons to Operate <br />B ^ ..................... ^ ................. .... ^ ........................ Signs and Markers <br />C ^ ..................... ^ ................. .... ^ ........................ Backfllling end Grading <br />p ^ .................. . .. ^ ^ Highwall Eliminatlon <br />..... ^ <br />E ^ ^ Rllle and Gulllea <br />.. . ....... . ..... <br />F ^ ..................... ^ ................. .... ^ ....................~.... Improper Fllla <br />G ^ ..................... ^ ................. .... ^ ........................ Topsoil Handling <br />H ^ ..................... ^ ^ Sediment Ponds <br />I ^ ^ ^ Effluent Llmlte <br />J ^ ....... . ... . . . . ...... ^ ^ Water Monitoring <br />K ^ ^ ^ ........................ Buller Zones <br />L ^ ..................... ^ ................. .... ^ ........................ Roads <br />M ^ <br />..... <br />^ . .... ^ ........................ Dams <br />..................... <br />........... <br />N ^ ..................... ^ ................. .... ^ ........................ Blasting <br />p ^ ^ ^ ........................ Revegetation <br />P ^ ^ ^ Spoil on the Downslope <br />O ^ ..................... ^ ^ Mining Without Permit <br />R ^ ..................... ^ ~ Exceeding Permit Limits <br />S ^ ^ ^ Distance Prohibitions <br />T ^ ^ ^ ........................ Toxic Materlale <br /> <br />................. <br />~ ^ ..................... ^ <br />.... <br />^ ........................ Other Violations <br />33. Name of Authorized Representative (print or typal <br />... F' . r <br />~ <br />Signature of Autho zed Representative ~ Data <br />' -'~ :J <br />- <br />~ -~ ~ <br />I ;/ 3 ° <br />Slgnature~f-Reviewing Ofll ~ r ate O C <br /> x <br />` <br />.• D ~l O <br />Dlatrlbytlon: Original - Flsk1 OHice, Green - Meatlpuanero, Blus - Stata'e Copy, Yellow - InapaCta'a Copy, Plnk • FII-Copr IE - 183 (ir83) <br />