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Page 2 v 1 =ages <br />`' United States Department of the Interior <br />Office of Surtace Mining <br />Mine Site Evaluation Inspection Report <br />2B. State Pertnlt Number 27. Date o} Inspection <br /> YMM DD <br />C- - 0 5 - a.. 1 1 ~ .- } ~ o h r1 ~. ri <br />28. Y No Do mining and roclamatlon activltlas on the site comply with the plans In the permlt9 <br />^ If no, rovltb nartatlve to eu rt ihle determi nation. <br />29. Indicate number of compote end partial Inspections conducted by the State to tlate for this annual review period: <br />29e. ~ Number of Completae 29b. ~ Number of Partials <br />30. Indicate number of complete and partial Inspections required by the State during thle annual review period: <br />30a. ~ ~ ^F Number of Completes 30b. ~ Number of Partials <br />31. Hae Inspection frequency been met? <br />Yes NO Ye9 NO <br />31e. / ^ Completes 31b. ~ ^ Partials <br />32. FEDERAL ENFORCEMENT INFORMATION. [Enter violation number. Check approprbte box(es)] <br />Ten•Dey Notice No. Notice of Vlobtlon No. Cessation Order No. Viobtlon Codes <br />., <br />- - - ~~ <br />- - - <br />A ^ ^ ^ Authorizatlone to Operate <br />B ^ ^ ^ .......................• Signs end Markers <br />C ^ .• ................... ^ ....,,.........,..,.. ^ <br />........................ Backfllling and Greding <br />D ^ ^ ^ Hlghwall Elimination <br />E ^ ^ ^ Rills and Gullies <br />F ^ .. . ........ . ........ . ^ ^ Improper Fills <br />G ^ ..............•.,.... ^ ^ ToPSOII Handling <br />H ^ ^ ^ Sediment Ponds <br />I ^ . ....... . . ... . ....... ^ ^ Effluent Llmlts <br />J ^ ^ ^ ........................ Water Monitoring <br />K ^ ^ ^ Butter Zones <br />L ^ ..................... ^ .. .................. ^ ........................ Roads <br />M ^ ..................... ^ .. ................... ^ ........................ Dams <br />N ^ ... .................. ^ ..................... ^ ........................ Blasting <br />0 ^ ^ ^ ...... ......... .. ..... .. Revegelation <br />P ^ ^ ^ Spoil on the Downalope <br />O ^ ..................... ^ ..................... ^ ........................ Mining Without Permit <br />R ^ ^ ^ Exceetling Permit Llmlts <br />S ^ ^ ^ Distance Prohibitions <br />T ^ .... . .... . . .. . . .... . . ^ ~ Toxic Materlele <br />U ^ ..................... ^ ~ Other Violations <br />33. Name of Authorized Representative Iprlnf or type) , <br />F_ 1 <br />Signature of >Bnthorized Representative <br />-~ - Date O ri C <br />i <br />. ~..~; - .rv. - <br />Signiyure of Re awing tli Ic~61!.' r=` <br />r ~% <br />gate - <br />O ~i <br />O ~ <br />J' <br />~ <br />~ ~ Ate" t/1, ~ .. 4 ~. <br />G / <br />O <br />OletrlDUtlon: Orlglnel~ Field Of11ce, Qreen ~ Heedpuartere, etue ~ State'e Copy, Yellow ~ InepettoYa Copy, Pinx ~ Fla Dopy IE ~ tea tl~ <br />