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Pape 1 0l Z Papes <br />United States Department of the Interior For Office Use ONIy <br />Office of Surface Mining <br />Mine Site Evaluation Inspection Report ,a ,b lp <br /> Y Y M M Balcn ReOOn <br /> <br />2. Name of Permlttee 10. Date of Inspection <br />9 MSHA Number (Y Y M M <br />D) <br /> ~ c ~ ~ c i9 -IE 3~I ~3 - A <br />~9I 0311 , <br /> 3. Slreel Address /' ~ f e 50 11. Slate Permit Number <br /> - ~ r ; x ~ ; ~-o~~ <br />L~~~TI <br /> 4. City SG r {~ Z 3 (oG~T 5. Slala _ <br />+2 Name of Mine <br /> <br /> <br />e t! e r' G' v _T._ T_ <br />~ ~I~ L <br />r 'Iz A ~5 ' ' <br />6. ZID Code 7. Area Code B. Telephone Number <br />o ez X03 <br />~ z- o <br />a 19. County Code 1 .Stale Code rt5~trata ;16. SSt~ale A~ca Olfice <br />~I~r ~ ! 1J L~1~ <br />. <br />17. OSM Field 1B. OSM Area 19. OSM 20. Type of Irspe^.lion 21. Joint Inspection 22 tnspecror's ID <br />Ollice No. Office No. Sample No. (Code) Yes No No. <br />®1~ <br />~ J ~ I I <br />o0 0 _ <br />27. Status 24. Type of Activity (c'+eck applicpble co.es). <br />A ~ Type of Permit <br />A L 1 Sleep SIOPe E ~ Anthracite <br />B ® Mine SlaluS (Code) <br />B ~ Mountain fop Renwval F Federal Lands <br />~ <br />~ <br />C ~ Q Type of Facility (Code) - <br />C ~ Prime Farmlands G C~ Intlian Lands <br />D ~ 0 ~ (~ • Number of Permltletl Acres <br />D ^ Alluvial Valley rS H i~ Other <br />E Q + • Number of Disturbed Acres I~r <br />~ ATE C~Yv L>s <br />25 Perlormance Standards lCo,7es-l'ESEE NRRRAriVE ~oR BC q N K 5 *" <br />Inatruclbnc Indicate compliance code For any slandartl marked 2 or 9 provide narrative In suPPOrt this deferminatrnn. <br />Slantla;ds Thal Limit the Ellecis to the Permit Area Standard: That A55u•e Reclam alion Ou slily and Timeliness <br />A ~ Distance Prohibitions M ~ Topsoil Handling <br />B ~ Mining Within Permit Bountlarles N ~ Backr~~l~r,g ar~d Gratling <br />C ~ Signs antl Markers O L Following Reclan,at•on Schedule <br />D ~ Sediment Control Measures P ~ Reveyetannn Reguuemenls <br />E a Design and Certlllcation Requirements- O L~ Dispose: of Eacess Spoil <br />Sediment Control <br />R ~ Handling of Acid or Toxic Materials <br />F ~ Ellluenl Limlls <br /> <br />G ~ Surlace Water Monitoring <br />S ^ Highwall Eliminalion <br /> T ~ Downslope Spoil Disposal <br />H ~ Ground Water Monitoring <br />U ~ Post Mining Land Use <br />I a Blasting Proceoures <br /> <br />J ~ HaullACCess Road Design and Maintenance <br />V ~ Cessa bon of Operations Tem ovary <br />~7 u <br />v <br />u hE~ER~E <br />~d l~ ~7 <br />~ <br />_ <br />W © Other <br />. <br />~- <br />_ <br />K O Reluse Impoundments <br />y ~.?oa. ~5~c 1~raedv re s <br />L ~ Other: Specd 71 /L _.~ _~~S <br /> <br />Dislribubon: Original Field Olf~ce, Green ~ Meatlquarters, Blue ~ Stele's Copy. Yellow ~ Inspector's Copy. Piny. Fde Copy IE ~ 16311187) <br />