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K <br />~.1 <br />Pape 3 of ]Papas <br />a U States Department of the Interi <br /> Office of Surface Mining <br />Mine Site Evaluation Inspection Report <br />28. State Permit Number 27. Date of Inspection <br /> (YYMMD D) <br /> ~ J ~ ^' rj 7 <br />28. Yes No Do mining and reclamation activities on the site comply with the plans in the permit? <br />~ ^ If no, rovide narrative to su ort this determination. <br />29. Indicate number of complete and partial inspections conducted by the State to date for this annual review period: <br />29a. p ? Number of Completes ~ 29b. c ~ v Number of Partials <br />30. Indicate number of complete and partial Inspections required by the State during this annual review period: <br />30a. ~ Number of Completes ~ - 30b. _~ ;, Number of Partials <br />31. Has inspection frequency been met? <br />Yes No ~ Yes No <br />31 a. ~ ^ Completes 31 b. ^ ^ Partials <br />32. FEDERAL ENFORCEMENT INFORMATION . [Enter violation number. Check appropriate box(es)] <br />Ten-Day Notice No. .Notice of Vi olation No. Cessation Order No. Violation Codes <br />A ^ ^ ^ Authorizations to Operate <br />B ^ ~ ^ ^ Signs and Markers <br />C ^ ^ ^ Backfllling and Grading <br />D ^ ^ ^ Hlghwail Elimination <br />E ^ ~ Rills and Gullies <br />F ^ ^ ---~ ^ Improper Fills <br />G ^ ^ Topsoil Handling <br />H ^ ^ ^ Sediment Ponds <br />.. <br />............. ^ ...... <br />~ ^ ............... ^ ........................ Effluent Limits <br />. <br />... <br />.... <br />J ^ -' ^ ^ , . - : . .................. Water Monitoring . <br />K ^ ^ ^ ........................ Bulfer Zones <br />L ^ ..................... ^ ...... ............... ^ ........................ Roads <br />M ^ <br />^ ...... <br />. <br />............. ............... ^ ........................ Dams <br />..... <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 />$ ^ ^ ^ Distance Prohibitions ' <br />T ^ ^ ~ ^ Toxic Materials <br />~ ^ ..................... ^ ^ ........................ Other Violations <br />33. Name of Authorized Representative (print or type) <br /> <br />Signature o1,Aut orized Representative - Date d~~ U <br /> <br />Signatu a of R viewing Official ~~ D t ~ ~ D <br /> <br /> <br /> <br />Distributlon:,~riplnal ~ Fleltl Olllce, Green - HeatlQuarters, Blue -State's Copy, Yellow -Inspector's Copy, Pink - Flle Copy IE - 163 (1!&3) <br />