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Pape 101 Z Papea <br />~ <br />• United States Department of the Interior <br /> Office of Surface Mining <br /> Mine Site Eva luation Inspection Report <br />20. State PsnnH Number 27. Date of Inspection <br /> (YYMMDD) <br /> I-/'u i 1 i I <br />?8. Yes No Do mining and reclamation activities on the site comply with the plans in the permN? <br />^ If de narretive to su ort this determination. <br />of complete end partial Inspections conducted by the State to date for this annual review period: <br />2Y. Indicate number <br /> ( <br />1~ ~',/ /~ N'i: i7 J,J~)113L :' /i flf0 f'j' _.-~. 4i <br />29a m Number of Completea 29b. m Number of Partials <br />30. Irrdicals number of complete and partial Inspections required by the State during this annual review period: <br />30a m Number of Completes ~ ~ 30b. m Number of Partials <br />37. Has Nrspectlon frequency been met? <br /> Yes NO Yes No <br />31a ^ ^ Completes 31 b. ^ ^ Partials <br />32 FEDERAL FJiFORCFJdENT INFORMATION. [Enter violation number. Check appropriate box(es)[ <br />TertDgr Notice No. Notice of Violation No. Cessation Order No. Violation Codes <br />A ^ ^ ^ ~ Authorizations to Operate <br />B ^ ^ ^ Signs and Markers <br />C® ..~.a.~..3.......... ^ ................. .... ^ ........................ BacktlllingandGradlnp <br />~^ ..................... ^ ................. .... ^ ..................... .. Hlghwall Elimination <br />E ^ ..... <br />. ^ . <br />... <br />.... <br />...... <br />.... .... ^ ........................ Rills end Gullies <br />F ^ . <br />....... <br />... <br />. <br />. <br />. <br />; <br />^ ........ Improper Fills <br />..... <br />^ <br />G^ ................. <br />.................. <br />-- <br />..................... ^ ................. .......... <br />.... <br />. <br />.... ^ ........................ Topsoil Handling <br />H^ ....----•----........ ^ ..............~... .... ^ ........................ Sediment Ponds <br />I ^ ......... ^ ................. <br />-------•~ ... .... ^ ........................ Effluent Limits <br />~ ^ . <br />............... .....~ ^ ................. .... ^ ........................ Water Monitoring <br />K ^ ^ ^ Buffer Zones <br />L ^ ..................... ^ ................. .... ^ ........................ Roads <br />M^ .. <br />...... ^ ................. <br />--- <br />---~-- .... ^ ........................ Dams <br />N^ . <br />. <br />•• <br />-• ................... ^ ................. .... ^ ........................ Blasting <br />O^ ^ ^ ........................ Revegetatlon <br />P ^ ..................... ^ ................. .... ^ ........................ Spoil on the Downslope <br />~^ ..................... ^ ................. .... ^ ........................ Minlnp Without Permit <br />R ^ ..................... ^ ................. .... ^ ........................ Exceeding Permit limits <br />S ^ ^ ^ Distance Prohibltiona <br />T ^ ^ ^ Toxic Materials <br />V ^ ..................... ^ ................. .... ^ ........................ Other Violations <br />33. Name of Autlrortzsd Representative (print or type) <br /> <br />Signatdre of Auttrafmd Representative Date y (~ <br /> <br />Stprrature a fle.iewing Official Date / i • C: <br /> <br /> <br />~'~: ~.i <br />a <br />Oi»Nion: Orfpfner -Field Office, Green- Headquarters, Blue -State's Copy, Yellow - InspectoPS Cop~Ifii = Citg;~`iGpy - 1BVafi~3~E13)~: <br />