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PaOe 2 0l S Papea <br /> <br /> United States Department of the Interior <br /> Office of Surface Mining <br />'` M(ne Site Evaluation Inspection Report <br />ffi. fiiaDS pamft Number 27. Date of Inspection <br /> (YYMMDD) <br /> <br /> <br />2t1 No Do mining and reclamation activities on the Bite comply with the Dlans in the permit? <br />^ N no, roNde nametive to su ort this determination, <br />28. Indicate number of complete end partial Inspections conducted by the State to date for this annual revlew parlod: <br /> <br />29a ~ Number of Completes 29b. m (yuttber of Partials <br />30. Irldicats number of twmplete and partial inspections required by the~State during this annual revlew parlod: <br />30a ~j 7 Humber of Completes 30b. ®Number of Partials <br />37. Hae blapectbn hoquenoy been met? <br />Yes No Yes No <br />31a ~ ^ Completes 31 b. ^ '~ Partials <br />32 FEDENAL ENf-0IiCEMENi INFORMATION. [Enter violation number. Check appropriate box(es)) <br />Ten-0ay NoUoe No. Notice of Violation No. Cessation Order No. Violation Codes <br />A ^ ^ ^ Authorizations to Operate <br />B ^ .............. ....... ^ ....... .........~..... ^ ........................ Signs end Markers <br />C^ ^ ^ Backfllling and Grading <br />D^ ^ ^ ........................ Highwall Elimination <br />.... <br />.... <br />E ^ ..... <br />..... <br />~ ^ . ^ ........................ Rills and Gugles <br />..... <br />.... <br />.. <br />... <br />. <br />F ^ .............. . <br />. <br />. <br />. <br />....... ~^ ....... . <br />.. <br />. <br />.............. ^ ........................ Improper Fills ~ .._. ._. -. <br />G ^ .............. ....... ^ ....... .............. ^ ........................ Topsoil HandNng <br />H ^ ~ ^ ~ ^ Sediment Ponds <br />1 ^ ... ...... ..... ....... ^ ^ Effluent Limits <br />~ ^ .............. ....... ^ ....... ^ ........................ Water Monitoring <br />.............. <br />K ^ ^ _ <br />^ ........................ Buffer Zones <br />~ ^ .............. ....... ^ ....... .............. ^ ........................ Roads - <br />~ ^ ....... ....... ....... ^ ....... .............. ^ ........................ Dams <br />N ^ .............. ....... ^ ...... ............... ^ ........................ Blasting <br />O ^ ^ ^ ........................ Revegetation <br />~p^ ^ ^ Spoil on the Downslope <br />O^ ^ ^ Mining Without Permit <br />H ^ .............. ....... ^ ...... ............... ^ ........................ Exceeding Permit Llmlts <br />S ^ ^ ^ Distance Prohibitions <br />T ^ ^ ^ Toxic Materials <br />U ^ ^ ^ Other Violations <br />33 N of omc[ Representative (p Ant or type) <br />a. r ~, j Z~ <br />SI ure o = resegtative ate D~ ~~ <br /> <br />Signaturey~ ~ 'swin icial ( Date <br />S'; <br />~ <br />' ' p O <br />f. , <br />2 <br />so 03 s <br /> <br />Dlatrmudoti Orginal - Flaltl Office, Grean - Heatlquartere, Blue -State's Copy, Yellow ~ Inspector's Copy, Plnk -File Copy IE - 163 (1!&1) <br />