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Papa R of Z Papea <br /> United States Department of the Interior <br /> Office of Surface Mining <br /> Mine Site Evaluation Inspection Report <br />ffi. Slate Permtt Number ~ ~ 27. Date of Inspection <br /> (YYMMDD) <br />- <br /> *k' <br /> <br />2ti Yes No Do mining and reclamation activities on the site. comply with the plans in the permit? <br />^ ^ If n0, rovide nartatlve to su drt this determination. <br />29. Indlwts number of complete and partial Inspections conducted by the State to date for this annual review period: <br />?Ba. ®Number of Completes ,~ 29b. ~ Number of Partials <br />3D. IMfcate number oT complete and partial inspections required by the State during this annual review period: <br />30a ~ Number of Completes 30b. ®Numtyer of Partials <br />31. Hea irmpaction hequency been met? - <br />Yes No ~ Yes No ' <br />31e_ l~ ^ Completes a~. 31b. ~ ^ Partials <br />32 FmERI1L FJ~IFORCEMENT INFORMATION . [Enter violation number. Check appropriate box(es)] <br />TerFDay Notlee No. Notice of Violation No. Cessation Order No. Violatlon Codes <br /> <br />A ^ ^ ^ -~ Authorizations to Operate <br />B ^ ^ ^ Signs end Markers <br />C~ .../~ -~~-~...---- ^ ...... ............... ^ BackflllingandGrading <br />........................ <br />D^ ^ ^ Hlghwall Eliminallon <br />E ^ ..................... ^ ...... ............... ^ ........................ Rllls and Gullies <br />F ^ ~ ~ Improper Fllls <br />G~ ~ ~ Topsoil Handling <br />H~ <br />;:~_•.!SSAr.... ^ ...... ............... ^ Sediment Ponds <br />........................ <br />~ <br />1 ~ ^ ^ Effluent Limits <br />J ^ ^ ^ ........................ Water Monitoring <br />K ^ ~ ~ . <br />...................... Buffer Zones <br />~ ^ ..................... ^ ....... : <br />.............. ^ .............,.......... Roads <br />M ^ ..................... ^ ...... ............... ^ ........................ Dams <br />N ^ ^ ^ Blasting <br /> <br />P ^ ^ ~ Spoil on the Downalope <br />O ^ ^ ^ ............ ..... .. Mining Without Permit <br />R ^ ^ ~ Exceeding Permit Llmits <br />S ^ ^ ^ Distance Prohibltlons <br />T ^ ^ ~ Toxic Materials <br />O~ ~ ^R7.t.n-!a........ <br />Q ^ ...... ............... ^ Other Violations <br />....................... <br />33 Name oTf Autlrorizad Representatiye (grin or type) <br /> <br />Signature of Autltorizad Representative Date ~ Z <br /> <br />Signature o1 Reri w ng Official / ~ ~ Date O~ O <br /> <br /> ~ ~ <br /> I <br />t3;atribuliorx Original - Flelo Office, Green - Heaoquaners, Blue -State's Copy, Yellow -Inspector's Copy, Plnk -File Copy ~. >.IE6?J6J 111&1) <br />-~` rf <br />