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} <br />\III IIIIIIIIIIIII III <br />~/~~1 ~ ~ <br />Pape t of t Papea <br />United States Department of the Interior For Office Use Only <br />Office of Surface Mining <br />Mine Site Evaluation Inspection Report ,a <br />~ ,b ,~ <br />m m <br /> Y Y M M BaI[h Report <br /> t0. Date of Inspection <br />2. Name of Permitlee 9. MSHA Number (Y Y M M D D) <br /> 7 r l t J h~i G $ ~, - r <br />L 1 <br />3. Street Adtlress { <br />~ I I ~ 1t. State~Perm it NumTl~ybeTr~I1[~-_: ~;~1T TTr-' <br />lL_L'J:2~ /~ LJ-1-.11-SVLJL._~¢µL~ I <br />4. City ;i ~-/~~~ J 5. State t2. Namn of Mine <br /> __ <br />6. Zip Code 7. Area Cotle B. Telephone Number 15 <br />Str <br />to <br />13. County Code 14. State Code <br />o 16 <br />Stile Area Office <br />. <br />r-; ~ © ~ m~ <br />t <br />~,~ <br />l <br />~ ~ =1J ~ <br />;I <br />I' <br />W <br />17. OSM Field 18. OSM Area 19. OSM 20. Type of Icspeetior 21 Joint Inspeclwn 22 Inspeclol's ID <br />Ofllce No. Otfice No. Sample No. f(,C'~o~tle)~~ ~ ~ Ir~Y1es IN~o iII <br />L~L~_L J ~ L~ N~o.~ <br />Lr1L~ <br />23. Status 24. Type of Activity (chock appucotle coxed. <br />A ~® Type of Permit <br />A C Steep SIODe _ <br />E L~ Anlhrar.Ite <br />B ~^ Mine Status (Cotle) <br />B ~ Mountain fop Removal <br />F Fndelat Lands <br />~ <br />~ <br />C Z ~ Type of Facility (Code) C ~ Pnme Farmlands -' <br />G f ~ Indian Lands <br />L <br />D f • Number of Permittetl Acres D ~ Alluv'ial Valley Floors H wt Other <br />E , I • Number of Dlst urDetl Acres • <br /> ~ 1 ~ <br />25. Performance S'znoartls ICodesl <br />In•truetlon•: Indicate compliance code. For any standard marked 2 or 3 provide na~ralive to support this deferminalinn. <br />Standards That Limit the Eflects to the Permit Area Standards Thal Assu•e ReclamaY:or, Quality antl Timeliness <br />A ~ Distance fTOhibdlons M ~ Topsoil Handling <br />B © Mining Wlthln Permll Bountlaries N © Back!aunq arm Gliding <br />C ~ Signs antl Markers O f ~I~ Following Reclamation ScLed~ne <br />R <br />, <br />D ® Sediment Control Measures P <br />©- <br />Reveyetauon Requrements <br />E ~ Design and Certification Requirements- O ~ Disposal of Excess Spoil <br />Sediment Control <br /> <br />F © Effluent Llmlts <br />R ~ Handling of Acid or Toxic Materials <br /> S © Hlghwall Elimination <br />G ~ Surlace Water Monitoring <br />T ~ Downslope Spoil Disposal <br />H ~ Ground Water Monitoring <br />U ~ Post Mining Land Use <br />I © Blastlnp Procedures <br />V ~ Cessation of Operations. Temporary <br />J ~ Haul/Access Roatl Design and Maintenance Y, ,, <br />K n Rafuse Impoundments <br />6 <br />T <br />~ Other: Spetily ~ e t' ti ,,~r~Ir:~ <br />L <br />.VI'15 <br />V <br />5 <br />Distribution Original ~ Fieltl Ollice, Green ~ Heatlquarters, Blue ~ Slate's Copy. Yellow ~ Inspector's Copy Pink ~ File Copy Ip'.m 6311183) <br />