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~..,. <br />ra<,. i o ' rao~., <br />United States Departn-lent of the Interior For Oftice Use Oniy <br />Office of Surface Mining ~ <br /> <br />Mine Site Evaluation Inspection Report ~~ r <br />t <br />I- ~ ~- ; -I -l 1 i ` ; ~ <br /> Y V M M Bamh Report <br /> <br />2 Name of Permhtee t0. Gate 01 lnspecbon <br />9, MSHA Number (Y Y M M D DI <br />0 4 k ~ a15. ~.I~~ ~-i~~a±l i IC:io~, I i l~~s~- io,3~i ,73i-, ~ I Iq~~io ~t ~oi6 <br />3 Street Address ~ 11 <br />tSfQ.VCt' Arno ~ O' t1. Stare Permit NumGe~ <br />_ <br /> <br /> <br />l <br />Q <br /> <br />a <br />1 <br />lt, ~ <br /> <br />o <br /> <br />r <br /> <br />~'-1 _ ___ <br />_ <br />'~ ~ T~ i r l ~ ~~I <br />I <br /> ~ City Q QD 5 State <br /> <br />v r t2 Nam? of Mine <br />1 1 <br />I' I' SIS '~ ~ ~ i <br />6. 21p Code 7. Area Cpde 8. Telephone Number 13. County Code .Slate Code - 15mStrata I1~. State Aroa Ollice <br /> <br />17. OSM Field 18. OSM Area 79. OSM 20. Type o7 Ir.specti0n 21. Joint Inspecticn 22 Inspector's ID <br />Olbce No. Ollice No. Sample No ICOdeI Yes Nr. Mo. <br /> <br />23. Slalus 2a. Type er Acmity Ic'`eck apphcatrv cones). <br />A ~ Type of Permit f' <br />A L ~ 4cep Slope E J Anlnracde <br />B m Mine Slalus (Cade) <br />H C' Mountain rug Remo. al F ~ - 1 p~y~ra' Lands <br />C ~ Type of Facility (Code) r i'_ 1 <br />C 1 I Pnme Fannyands G ~ J tntlran Lands <br />LJ <br />D 0 Q S Q • Number of Permitted A(:rps D ~ Alluvial Valley Floors H Other <br />E t (~ ~ `~ • G Number al Dislwbe0 Acres <br />Pr;v L.a <br />25 PeHOrmance S'andard~ ICodes` <br />Instruclbnc Indicate comDllanoe Code. FOr any Standard marked 2 C' 3 prowNt narrative to 5u0po•t Mrs derermrnatinn. <br />5landa:d5 That Limit the Ellecls to the Permit Area Standards That Assu•e ReGamatior, Duality and Timeliness <br />A ~ Distance ProhiDdions M ~ ~ ToDSO•I Hanol~nq <br />J <br />B ~ Mining Within Permit Boundaries N ~ Backbdu,q and Grading <br />C ~ Signs and Markers O ` Fc!low,ng Rectaroation Scned•ae <br />D ^ Sediment Gontr0l Measures P ^ Reveyelalron Requnemenl5 <br />E ~ Design and Certillcallan Reduiremenls- O ~ Disposal al Excess Spoil <br />Sediment Control <br /> <br />F ~ Effluent Llmlts <br />R ~ Handling of Acid or Toxic Materials <br /> <br />G ~ Surface Water Monitoring S ~ Highwall Elimination <br /> <br />H ~ Ground Water Monitoring T O Downslope Spoil Disposal <br /> U ~ Post Mining Lantl Use <br />I ^ Blasting Procedures <br />V ~ Cessation of Operations. Temporary <br />J ~ HaullACCess Road Design and Maintenance <br />w ~ Other __ __ <br />K ~ Reluse Impoundments <br />L ~ Olhec Specify _~_ <br />Distribution: Original -Field Ollice, Green - Heatlguarters, 8rue ~ State's Copy. Yellow ~ Inspector's Copy, Pink ~ File Copy IE ~ t53 (t/tt3) <br />