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Papp 2 OI 2 Papes <br />' •ted States Department of the Intt~ <br /> Office of Surface Mining <br />Mine Site Evaluation Inspection Report <br />28. State Permit Number 27. Date of Inspection <br /> (YYMMDD) <br />2& Yes No Do mining and reclamation activities on the site comply with the plans in the permi t? <br />^ ^ If rw, rovide nanalive to su ort this determination. <br />29. Indlute number of complete and partial inspections conducted by the State to date for this annual renew period: <br />29a m Number of Completes 29b. m Number of Partials <br />30. Indicate number of complete and partial inspections required by the Stater during this annual review period: <br />3Qa m Number of Completes 30b. m Number of Partials <br />31. Has I~'bon frequency been met? <br />Yes No Yes No <br />31a ^ ^ Completes 31 b. ^ ^ Partials <br />32 FFDEAAL ENFORCEMENT INFORMATION . [Enter violation number. Check appropriate box(es)] <br />Ten-Day Notice No. Notice of Violation No. Cessation Order No. Violation Codes <br />A^ ~ ^ Authorizations to Operate <br />B ~ ^ ^ Signs and Markers <br />C^ ^ ^ Backfllling and Grading <br />D~ ^ ^ Highwall Elimination <br />. ^ <br />E^ .... ^ Rills and Gullies <br />... ... .......... <br />F ^ ..................... ^ ^ Improper Fills <br />G^ ^ ^ Topsoil Handling <br />H^ ^ ^ Sediment Ponds <br />. <br />^ ^ Effluent Limits <br />.............. <br />....... <br />J ^ ^ ^ ........................ Water Monitoring <br />K ^ ^ ^ Buffer Zones <br />~ ^ ..................... ^ ...... ............... ^ ........................ Roads <br />M ^ <br />^ ........... ^ ........................ Dams <br />..................... <br />...... <br />N ^ .....----~--~--...... ^ ...... .... <br />............... ^ ........................ Blasting <br />O ^ ^ ^ ........................ Revegetation <br />p ^ ^ ^ Spoil on the Downslope <br />p^ ^ ^ Mining Without Permit <br />R ^ ^ ^ ........................ Exceeding Permit Limits <br />g ^ ^ ^ ........................ Distance Prohibitions <br /> Toxic Materials <br />tl ^ ^ ^ ........................ Other Violations <br />33 Name of Autlrorized Representative (print or type <br />Signature of Authorvad Representative Date <br />Signature of Reviewing Official Date <br /> <br />pstrt6utiorx Original -Field Ofllce, Green ~ Headquarters, Blue ~ Slala's Copy. Yelipw ~ Inspector's Copy. Pink ~ Fiie Copy IE ~ 169 11187) <br />