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COAL BOND COMPLIANCE INSPECTION FORM <br />Mine \~'a-~,._t ~. 1~"l , ,.tee <br />Permit No. ~ - ~ I - O a 1 <br />Date ~ /d 9 ~~ co <br />"~T~ <br />Pan 3 -Support Facilities/H dy rologic Structures - <br />Permittee wa~(..,-. ~~~! ~o . <br />Operator <br />t <br />Inspector ...~ <br />To be completed at Permit Renewal and <br />Midterm <br />1. Verify that all roads are documented in the permit. If not, list all undocumented roads and <br />their approximate width and length. Verify the type of surfacing used on each road <br />(gravel, asphalt pavement, etc.) n , <br />2. Verify that all ditches and diversions are documented in the permit. If not, list their <br />width, depth, and length. <br />-~ a~ rw .....-,..ate ~ ~ G ~ _ ~/ „_, ~C, ~ ~j o. ~.,Ic . ~ , I I ~/ <br />Cam..-~ ,.",.r .. C u.r r vw S G ~ ua s5 S <br />3. /Verify that all culverts are documented in the permit. If n' Iot, list their diameter and length. <br />~~ C~IN-u--f Q/K~ Y~ 5 ~-r -li~~r. C c,u-,.k/ Jc~cc-e,o~ rd <br />c~ ~1..e. inter Qi`r~~ ~co-,~.c~ ~.~--L~ .7 I~ (c~e.d ~~r-/~ <br />G14.I~"~ <br />4. List the location, type of opening (drift, shaft, incline), and dimensions of all mine <br />openings. <br />