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p4 C_ p'_ <br />i; ~~ <br />~~\`\y~ <br />.~.~ <br />COLORADO DIVISION OF MINERALS AND GEOLOGY III I IIIIIIIIIIII III <br />COAL INSPECTION REPORT <br />MINE NAME: <br />OPERATOR: <br />PERMITTEE: <br />COUNTY: <br /> <br />ADDRESS: <br />TYPE OF OPERATION: SURFACE ~ UNDERGROUND LOADOUT <br />OWNERSHIP: FEDERAL NON-FEDERAL <br />PERMIT STATUS: AC=Active, AP=Application in Review, CO=Under Cease Order, <br />IN=Inactive/Phase II Release, PC=Permanent Cessation, RV=Revoked, <br />SU=Suspended. TC=Temporary Cessation, OR=Other <br />[CJ MINE ID OR EXPLORATION ID NO. ~ - ~ ~ - ~ ~ ~ -, <br />[CJ INSPECTION DATE ~ Z l ~ 3/ D <br />[C] INSPECTOR'S INITIALS <br />[C] TIME OF DAY (MILITARY TIME) <br />[C] INSPECTION TYPE CODE ~ C <br />POST INSPECTION CONTACTS L~ U <br />JOINT INSPECT. AGENCY CODE // <br />[C] REASON FOR INSPECTION CODE <br />Z~ <br />CC=Coal-Complete, CP=Coal-Partial CX=Coal <br />Exploration, AI=Aerial, IL=Illegal Operation <br />NO=None, BL=USBLM, CE=US Corps of <br />Engineers, CH=CoIo Health Dept, CL=CoIo Land <br />Board, CT=Citizen, CW=GoIo Wildlife, DE=U.S. <br />Energy, DW=US Wildlife, FS=U. S. Forest Service, <br />HW=CoIo Highway Dept, OS=OSM, SE=State <br />Engineer (Water Resources) <br />AG=Other Agency Request, CT=Citizen Complaint, <br />FU=TDN Follow-up, IE=Normal I&E Program, <br />MU=Memo of Understanding, OF=OSM Special Focus, <br />ON=OSM NOV Follow-Up, OS=OSM Oversight, <br />PR=Pre-operational, SI=Surety Release, SR=Surety <br />Related <br />COMPANY REPRESENTATIVE PRESENT <br />CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) C/~/~ r <br />~, 1 ~+ ~ (Date) <br />INSPECTOR'S SIGNATURE <br />~Z-,S a <br />[C] WEATHER CODE _v ~ CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining, <br />SN=Snowing, WD=Windy <br />INSPECTION REPORT ISSUANCE DATE ~~ ~ ~~ <br />NOTE: [C] =Required Entry <br />WHITE -File YELLOW -Operator <br />(Date) <br />~~ <br />V <br />PINK -Specialist <br />