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,.~ <br />~ <br />UI~ States Departrnent of the. Intf:ri. _.. ~, : <br />_ Officerof Surface Mining . ~:. - <br />Mine Site Evaluation Inspection Report - <br />ffi State PannR Number ~ ~ . <br />. r ~~ _ ~ .' 27. Date of Inspection .. ~ - <br />- .:. ~ ..- ~~ <br /> <br />- - / !~. 5 - <br />Za Yes ~, No Do mining and reclamation activitlea on the.elte comply wlth~the plans In the ermll7 ~ (~ ~ ~- ' ~~.' ~ - <br />.' O It rro roNde nartetlve to su ort this tleterminatlon. 4~(-a:.l.e, r '.2 '~ c~' J'c : ' <br />Z9. Indicats msrrber of compote and partial Inspecllons conducted by the State to date for this annual review period: ~ ~' ~~ •~ , <br />~ - <br />29a ~.® Number of Completes .. ~ ~. ~~ `. ~ .28b. ~~ Number of Partlels .. ~~ <br />.~ <br />90. Indir~te nronber of complete antl partial Inspecllons required by the State during this annual review period:. <br />3Q~ A r Number of Completes - ~ ~ ~ ~ ~ Sob. ~~ • ~ Number of:PaAlals ~ •~.` ~P' <br />31. Has Irmpeelforr frequenry been met? ~ - - <br />~ <br />~ - <br />~ <br />- . <br />. ~ Yes No .• ~ ~ ~ ~ ~ .: <br />Yes ~NO ~ . <br />~ ~ ~ . <br />. <br />- <br />31d ^ ^ Completes ~- i. ~ ~ ~ 31b. .~ ^Partlels ~' . '~ ~ ~ . ~ . <br />32 FEDERAL ENFORCFJdEIIT INFORMATION. [Enter violation number. Check appropriate box(es)] . ~~~ ~ ~ - ~ ~ - <br />. -Tan-Dar Natlce No. .. .. Notice of Violation No: ~. ~ • ~ Cessation Order No. : ' . Violatlon'Codes ' <br />~A ' ~.- ~ ` ~. ~ ~ ~ ~ ~ ~~ ~ . ~ ~ .Authorizations to Operate <br />~B^ ..:.:.........:......~^ ~..:.~~.~. .~..:.:.~....~:...~~^ .:~....~.::.::.....:..~...... SlgnsantlMarkere ~ ..':: <br />C ^ .........:... ..~.. ~::.~. ~ ^ ...:.. .....:...:.. ~.... ^ ~ :.......:...:............ Backfllling and Giading .. . <br />..D^ ~.~:......~....:......:.~ ^~ ...~..~: ........:~....::: ^ ..~ ....:.................. :Hlghwall FJiminatlon ~~~. - <br />E^' .-:......-:.:..-...:. ^ :: .:.: ::........:.... ^ ...-..:..:.:.:......:.. Rills end Gugles; .. .: . <br />F ~ ~~~ ~~ ~~ - ~~ ~ ~ - ~ ~ ~ ~ ~ ~ Improper Fills <br />.r'^ ..:.................:.^ .:.... ...........~.... ^ ::.~....................:. ~TOpaoll Handling .. <br />H ~ .. ~ ~ ~ Sediment Pontle <br />1 ^ -•• .:................ ^ .:~.... ............... ^ ..:..........:.......... Effluent Limits <br />~ ^ ............:. r.'.:'... ^ ....... ...:.~.......:.:.~ ^ ...: ...............:....' Weler Monitoring <br />K^ .. ~ ^ .: ~ : ~.. ^ ~ ~.. ~ ~ .....~.... ~. Buffer Zones ~ : .. <br />~ ^.-........ .............. ^ .~..... .......~........ ^ ....~...~......~.....:..... Roads ; .. . <br />~M^ ...::.....~...:.....~... ^ ....... ...:.~......:..~. ^ ..~..........~ ...........: .Dame ~. .. <br /> <br />N ^ ----.....~..~..:......: ^ ...... <br />................ ^ .....~...........~.:...:.. _ <br />., Blasting <br />O^ ~ ~ .~ ~~ ^ ~ ~ ~^ '. ~~ ~ ~ ~ ~Revegetetlon~ <br />~P^ .....:-• ........:.... ^ ...... ..........:.,~.. ^ .,............~..:......: ~ SpollontheDownalope : <br />O^ .••--•-•••.-:.:....... ^ ..... ................ ^-.:...................... . Mining Without Permit. - <br />. <br />. R^ ..:.........:........ ~^ ..... ..~:.......~...... ^.~:.:....-.............:... <br />. 'Exceeding Pennlt Llmlts <br />S^ ................:.... ^ ..... . <br />................ ^ ........................ .Distance Prohibitions <br />T ^ ~ ~ ^ ~ ^ ~ ~ ~ ~ Toxic Materials <br />n Other Violatlone <br />33 Name of AuUrorizad Representative (print or fYPe) ~ ~ ~ ~ ~ ~ ~ ` <br /> <br />Sfgrrefure of AUthorlmd Representative ^ D to b ~ S <br />,i j ,. ~.-v ~ - i k ~ (c U <br />Slgruture Pt ReNewln IOHiclal <br />J Gate a c~ 0 <br />,~ -~Ll.,~ /~. k 5 , <br /> 0 ~ <br />. ~ <br />OIS01aMbrr Orginel -.FbIG Ohba, Green - MeaCquertere, Blue - Sters'a Copy, Yenow - inspector's Copy, Plnk -File Copy IE - 18a ftreal - <br />_--___.___ .. _______-_.. Paps ¢ol]P~eu ___ <br />