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of t Pipes - <br /> <br /> <br /> <br /> l~- <br />•/ <br /> <br />31. Has IrmpsfAlon hequency been met? <br />Yas No Yes No <br />Jla © ^ Completes 31b. ^ ^ Partials <br />SL FIDERAL BiFORCEIfFM INFORMATION. [Ester violation number. Check appropriate box(es)] <br />TarOap Ifollee Na Notice of Vlolalion No. Ceaeatlon OMer No. Violation Codea <br />A^ ..................... ^ .................... . ^ ......... ............... Authorl>gtlonetoOperata <br />B^ ..................... ^ .................... . ^ ......... ............... Sipfta and Markers <br />C^ .. ................... ^ .................... . ^ ......... ............... Beckfllllnp end Gratllnp <br />~^ ..................... ^ .................... . ^ ......... ............... Hlphwall FJiminaflon <br />E ^ ............ . ........ ^ .................... . ^ ......... ............... Rills and Galilee <br />F^ ..................... ^ .................... . ^ ......... ............... ImpmperFUle <br />G^ ..................... ^ .................... . ^ ......... ............... ToPsoll Handling <br />N^ ..................... ^ .................... . ^ ......... ............... Sediment Ponds <br />! ^ ............._....... ^ .................... . ^ ......... ............... ENluent Limita <br />~ ^ ... ... ............... ^ .................... . ^ ......... ............... Water Monitoring <br />K^ ^ ^ ......... ............... BufferZOnea <br />~ ^ ..................... ^ .................... . ^ ......... ............... Roads <br />M^ ..................... ^ .................... . ^ ......... ............... Dams <br />~^ ..................... ^ .................... . ^ ......... ............... Blasting <br />O ^ ^ ^ ... . ..... . . . . • .......... Revegetatlon <br />P ^ ..................... ^ .................... . ^ ........ ................ Spoli an the Downslope <br />..................... <br />Q <br />^ ^ .................... . ^ _....... ................ Mining Without Pertnil <br />f <br />'1 <br />R^ ..................... ^ .................... . ^ ......... ............... F~cceedinp Permit Limits <br />S^ ..................... ^ .................... . ^ ........ ................ Distance Pmhlbltlons <br />T ^ ..................... ^ .................... . ^ ........ ................ Toxic Materials <br />V ^ ....... ....... ....... <br />.................... <br />^ ^ ........ <br />. ................ Other Violations <br />ffi Name of Autlnrtaed Rapreaentatlve (prlnf or type) <br /> <br />of-AUUrorimd Repreaentatlve Date ` ~ ~ S <br />G '-7, - -i.. ~~ t . <br />Signatae _ flevfearitrp ORIGaI Date ~. Z .,, <br /> O / o <br /> <br />Dbtrbfabrc Orlplnv - MW OHlce. Green - MeaEquerters, Blue - Slate's Copy, Yellow • Inepectora Copy, Pink • Flle Copy IE • 1a3 (lla3) <br />