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r <br />a <br />_r <br />III iliiiilllllll III <br />sss ~ ~• ~ ea° ~ a r P w <br />Papa 1 or 2 Pape <br />United States Department of the Interior AUG 719 9 For ottice use only <br />Office of Surface Mining <br /> <br />- Mine Site Evaluation Inspection <br />::.. <br />- <br /> <br />rr~~ MIN <br />Re~ ED ~A D <br />~GLAMA710N D VIS O <br />•. .. <br /> <br />'-°r -~-, '~ <br />W <br />.. - ~ - - _ <br />.. Y Y M M Ba¢n Rayon <br />- ~~ ~ <br />$. Nama of Permltlee ~ ~ ~ <br />9 MSHA Number ~ 10. bete of ImpeObon <br />(Y Y M M D DI <br /> 0 o S- I 6 - o7~Z'6, <br />.3. Street Atldreas er <br />11 Slate <br />P <br />ermit Num <br /> <br />~ <br />1 <br />Q <br />V <br />v <br />G~ }^y <br />~ YI l <br />~ l <br />~I L~ <br />µ <br />VI 1 I ( <br />I I <br />I 't <br />I IITI~ <br />I <br /> J <br /> <br />. <br />a. City ~ ~ 5. State 12. Namn of Mine ' <br />- <br />, _ i i ~ ~ <br />' II _ r7T~ <br />iI <br />II <br />I! <br />II <br />II <br /> L <br />L <br />l <br />_L <br />LJ <br />6. ZID Coos - ~ ~ 7.~Area Coos .-. 8. Telephone Number t]: County Cotle 1a. Slate Cotle t5. Strata 76. Slate Aroa Otlice <br />_ 1T. OSM Flsltl ~ 16. OSM Araa ~~=• 99. OSM - 20. T ype of InsDecuon 21. JOmt InsPectmn 22 Inspector's ID <br />Olliee No. Ofllce No. - -- -Semple Nol .. _. ~ <br />~ ~ ~~ <br />- (Cpo~tl}~e)~. ~ ~ ~ ~ '~yYye/~s~ NO <br />~ No. <br />. C L <br />L <br />l <br />LJ U L <br />~ - <br />. _ <br />_ <br />~ <br />_ <br />7J. Status -. _ <br />' .. <br />~ <br />. ~ 2<. Type o+ Aetwity Ic~eck apDncable Doxesl. <br />, ~ . ~ , <br />~ <br />- <br />A ® _ -- _ - . 7YPe al Permit <br />" - _ - _ _ ~ - - _ _. _ _ _ <br />-_ ~ A ~ Steep SIODe - . . <br />E ~ AnlnraCrt! <br />8 ~ _ ..... Mine Status ICddel .. ~ .. <br />. - ~ - _ " - ~ ~ ~ ~ <br />B ~ Mountain Too Renrval . <br />F w~l Fwoeral Ones <br />. - ' C_ ® :. : " TYOe of FacII1tY (Code) .. - . - <br />~~ -~ _ . - - . _. <br />C ~ Prime Farmlands f L11 <br />G ^ Intlian Lands <br />~y~ ~~ <br />D L~dLJ.fO_L.KW Numcer of PermitllO Aeres <br />_ "~ . <br />D ~ Alluvial Ye11eY Floprs <br />H ~ Olner <br />E ~ ~~ i ~ ~, Number Ot DlatUrOed Aces ~ ~ . <br />- ~ 25. PerfOrtnence SienOarps /CAdlsl ' <br />ilelrarCllogC IMigte ~mpllallCe 0000. FOr any Slantlerd marked 2 0! 3 Dr0vi0e narntre! l0 SuppOrl This Oetlrminatinn, <br />Standards That Limll the ERxts IO Tha Permh Arta ~ <br />_- Standards Tne1 Assu•e Reclamation Qualify antl Timetinegs <br />--. <br />A '~_I Dlsanoe Yrylyibrtlons C'TOPSOiI Hanolinq ~ <br />M <br />~ <br />, - <br />~ <br />B U Mining Wlthln Permit Bpuntlaries I <br />N " ' Batk!i~linq and Gratlinq ` <br />O <br />4--u b ^ <br />'' <br />o,~ re%ase. <br />C ~ Signs and Muken - ~ O L J Following Reclamation Suiemile <br />O ~ Satlimant !,ontr0l Measures P ~l Reveyetatian Aoqu+rements <br />: <br />J <br />~ Dasipn and Certiticatlon Repuiramsnts- <br />E Disposal o1 Escess 50011 ~ ~~- <br />0 <br />^ <br />. <br />_~ SWlment Control <br />' ~ <br />~J'F ~ Effluent Limlta <br />R ~ Hantllinp of Acitl or Toaic Materials <br /> <br />G ~ Surtaca Weler Monltorinp S ~ Hignwell Ehminalion <br /> <br />H ~ Ground Water Monltorinp T ~ DOwnelODe SDDII DI$DOSeI <br />_ U ~ Post Mining LanO Use <br />1 ~ Blasllnp Procedure9 <br /> <br />_. 1 ~ Hau7/ACCesa Road Destgn and Maintenance <br />V ~ CeasaROn of Operations: Temporary <br /> <br />K ~ Reluee Impoundments W ~ Otner <br />L ^ Otner: Specify <br />Dislrlbulion: Original FielO Ollice, Green - MeaOqudrtera, Blue ~ Slate's Copy, Yellow ~ In50ector'S Copy. Pinr. "File CORY IE ~ 163 11163) <br />