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~, ::~?4'g COLORADO DIVISION OF MINERALS AND GEOLO o V~ III IIIIIIIII IIII III • ~??~ COAL INSPECTION REPORT 999 Deis MINE NAME. ~J ~w ADDRESS: OPERATOR: (locy ra~ ~~Q ~ ~ rr~~y'^^,4'~1-~~~ ~ . ~~~. PERMITTEE: ~• ~ • '-e"X '1 ~ ~~ I r~ COUNTY: ~v~-eo-+~..bo~- ~(o r. C.O / SG ~!~ ~- - d s~~ Val +~ TYPE OF OPERATION: SURFACE / UNDERGROUND _ LOADOUT OWNERSHIP: FEDERAL ~ NON-FEDERAL PERMIT STATUS: ~V AC=Active, AP=Application in Review, CO=Under Cease Order, IN=Inactive/Phase II Release, PC=Permanent Cessation, RV=Revoked, SU=Suspended, TC=Temporary Cessation, OR=Other [C] MINE ID OR EXPLORATION ID NO. ~- ~'S ~ - Cl .3 2-_ _ [C] INSPECTION DATE _ ~/~ ~/~ ~/ [C] INSPECTOR'S INITIALS [C] TIME OF DAY (MILITARY TIME) O _~~ [C] INSPECTION TYPE CODE ~ ~ CC=Coal-Complete, CP=Coal-Partial CX=Coal Exploration, AI=Aerial, IL=Illegal Operation i POST INSPECTION CONTACTS ~ ~ NO=None, BL=USBLM, CE=US Corps of Engineers, CH=CoIo Health Dept, CL=CoIo Land JOINT INSPECT. AGENCY CODE ~ Q Board, CT=Citizen, CW=CoIo Wildlife, DE=U.S. Energy, DW=US Wildlife, FS=U.S. Forest Service, HW=CoIo Highway Dept, OS=OSM, SE=Slate Engineer (Water Resources) (C] REASON FOR INSPECTION CODE J- G AG=Other Agency Request, CT=Citizen Complaint, FU=TDN Follow-up, IE=Normal 18E Program, MU=Memo of Understanding, OF=OSM Special Focus, ON=OSM NOV Follow-Up, OS=OSM Oversight, PR=Pre-operational, SI=Surety Release, SR=Surety Related COMPANY REPRESENTATIVE PRESENT gas- ~- ~ ---------- CO. REP. SIGNATURE (FIELD ISSUANCE ONLY) (Date) INSPECTOR'S SIGNATURE k~...-~ a ~~ o / 9 (Date) [C] WEATHER CODE ~ j CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining, SN=Snowing, WD=Windy INSPECTION REPORT ISSUANCE DATE tO Ilo I9~ NOTE: [C] =Required Entry WHITE -File YELLOW -Operator PINK -Specialist