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P~p~ Z UR Papn <br /> <br />( _ ~ ,~ EJnlted <br />tMl ng Interior <br />S ~~~~~~~ - <br /> Off ce of <br />rface <br /> Mine Slte Evaluation Inspection Report <br />2a SIaSe p'amlt Numttar 27. Date o1 Ina action ' <br />Y M M t~D <br /> • MINED LAND <br />- - RE LAMATION DIVI <br />2a Y No ' Do mining and reclamation activltles on theaelte comply with the plane In the permll7 . <br /> O tl nanellve to au ort this determinatlon. <br />24 1 number of complete end partial Inspectlone conducted by the State to date for ihie annual review period: <br />211a ~ Number of Completes 2BD. ®Number of Partials <br />~. IrrdkaZB number of complete Bred partial Inspections Yequlred by the State during tDls annual review period: <br />SOa. ~ Number of Completes 300. ®Number of Partials g~ I <br />31. Has Dtspeaitan hequencY been met? ~- ~ . <br /> Yes No ~ Yea No ~ ~ ~ - <br />31a ^ Completes ~ 31D. ^ Partials <br />SZ F®t31AL tTlr-0ACEMENT INFORMATION. (Enter violation number. Check appropriate boxlea)) <br />. TarOay Notice Na~ ~ Notice of Vlolellon No. Ceaeatlon Order No.~~ - Violation Codes ~ . <br />~A^ .~....~ ................~ ^ .......-......-....... ^ ......-.......:......:.. AuthorizatlonstoOperete <br />B^ ..................... ^ ..... .........-...... ^'........................ SlgnsandMarkere <br />CL7 ..................... ~^ ..... ..........._...- ^ ........................ {3eckfllling and.Greding <br />~^ ~ ..................... ^ ...... ............... ^ ...............,........ Highwell Ellminatlon <br /> <br />F^ ..................... ^ ..... ...............: ^ .......:.:.............. Improper Fllla <br />G^ ...........:......... ^ ..... ................. ^ .-...................... Topsoil Handling <br />H^ ..................... ^ ~..... ..-.............. ^ ............._........... SadlmonlPonda <br />1 ^ ......................~ ^ ..... ............,..: ^ ..~...~..................~. Effluent Limits <br />~ ^ .................... ^ ^ ..............,....,.... Water Monitoring <br /> <br />.L^ ..................... ^ ...-. ................ ^ ..................,..... Roads <br />M^ . <br />. <br />.... <br />.... <br />^ ..... <br />. <br />. <br />.. ^ -...........:........... <br />................. Dame <br />N^ . <br />. <br />. <br />. <br />. <br />. <br />. <br />..................... ^ ....- . <br />................ ^ ........................ elaeting <br />O~ ^ ^ Revegetatlon <br />P.^ ..............~....--. ^ ..... ........'........ ^ ...................-..... Spoil on the Downalope <br />O^ ................:.... ^ ..:.- ...............: ^ ......................... Mlning Without Penult <br />R^ ......... ............ ^ ..... ..~.............. ^ .................... <br />-... Exceedigg Permit limits <br />S ^ . <br />..: ^ ..... <br />. <br />. <br />. <br />. <br />... , <br />........ <br />..... <br />..............:..... <br />. ^ ... Distance Prohibitions <br />T ^ . <br />.. <br />. <br />. <br />. <br />.. <br />.. <br />..................... ^ ~..... . <br />. <br />. <br />......-......... ^ ........................ Toxic Materlala <br />~ ^ ...... .... ........... ^ ..... .............-...^ ........................ ~ Olher Vlolallon9 <br />3~ Name of Autlrormed Repreeentaflve (print or tYpel ~ ~ ~ ~ ~ - <br /> . . <br />.. -.~ ... _.. ~. ' <br />S(grrature of AeMror4ed RePreserHative ate .d 1 ~ <br />. . <br /> <br />~ of a <br />sr " or ng lal Data fj ~ ~ <br /> 2 <br /> p. • o <br />10~ <br />Dbtribullore - F7els OHlee, Green - Heseduarters, &us -State's Copy, Yellow - Inapattofa Copy, Plnk - FNa Copy IE -1a3 (11B$ <br />