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~~- f ~~ ~~' ' '~I Pape i or ; Papes <br />United States Department of the Interior ~;~, ~? ~ •I ,, y,; For Office Use Only <br />Office of Surface Mining <br /> <br />Mine Site Evaluation Inspection Report ;;+,lir,.~; : <br />i <br />~ <br />i ,a ,b 1q <br />,,,~, ~ ~ <br /> <br />ec <br />Gmat <br />i;rl <br />idi <br />W <br /> Y V M M Baltn RpD011 <br /> <br />2. Name Of Permille0 10. Date of Inspection <br />9. MSHA Number fY V M M D D) <br /> <br />o <br />~ <br />o <br />o <br />~Q <br />oh~(~ <br />O / r~ <br />~( a ~I( J <br /> 3. Slreel Adtlress 11 Slate Permit Number <br /> <br />D <br />D e )~ ~ ~ <br />L ! <br />~. City S. Stale 12 Name pl Mine <br /> ~ ~- ~-~~ r ~ ~-TliL~.~ZL <br />8. Zip Cotle 7. Area Code 8. Telephone Number <br />g b° I ~ 6 7 a ~~t 3. C~~ou~~.ty Coue 1a Stale Code 1~Strata t8. Sla;c .4ica 011ice <br />~ I~~ I ~~ ~ .IJ ~~ <br />17. OSM Field 18. OSM Area 19. OSM 20. Type o: Irs Veclipr 21. JOmI Inspection 22 Inspector s ID <br />Olfice No. Ollice No. Sample No. (Code) Ves No No. <br />~ <br />~ <br />i~ <br />-a ~ ~~~~ <br />23. Slalus 2a. Type N Acnwly (c?eck applicable coxes). <br />A D ~ Type of Permit <br />A L l Steep Slope E ~ ~ Anthracite <br />8 ~ Mine Status (COdel <br /> <br />C ~ Type of Facility (Code) r <br />B ~ Mountpin fop Remc. al F i_ _I Federal Lands <br />1 <br /> C ~ Pnme Farmlands G C~ Intlian Lands <br />J <br />D lf[-L~-L11~1~JLi Number of Pe.mittetl Acres D ~ A1IUwa1 Valley Floors H :~ Other <br />E p ~ • Number of Disturbed Acres (~,~ <br />/Vow- F <br />25. Performance Slantlar0e 1Codes~ <br />Ineruetlon•: Indlcafe Compliance code. For any stantlartl marketl 2 or 3 provide narrative In support this delerm~natinn. <br />Btantlartls Thal Limit the EIIecI4 to the Permit Area Standartl5 Tnat Assu•e Reclam 3tibn Ouahly dntl Timeliness <br />A ~ DISIanCB Hrohibilipns M ~ TopsOd Han glinq ' <br />B © Mining Within Permit 6oundanes N ~ 8achh:bnq and Grading <br />C ©Slgns and Markers ~ Follosemg Reclamatbn Schedule <br />O <br />D © Sedlmenf Cgnlr0l Measures Clr'tfrr.~v /fO c)~ ^ <br />P ' I I Reveye~ahnn Requiremerds <br />E ~ Design and Certlf7cation Requrremants- O ~ Disposal pl Excess Spoil ~IA.. ~- -+.,_r <br />Sediment Control <br /> <br />F ~ Effluent Limits <br />R Q Handling of Acitl or Toxic Materials <br /> <br />G ~ Surtace Water Monitoring S ~ Hignwall Eli minalton <br /> <br />H O Ground Water Monitoring T ~ Downslope Spoil Disposal <br /> <br />U ~ Post Mining Land Use <br />I ~ Blaslinp Procedures ~ (,.[_ _~ - S ~.. ~s <br />+""~' _`~ <br />V ~ Ce55alion of OperaHonS. Temporary <br />_ <br />J © HaullACCess Road Design and Maintenance ~ w~ <br />W ^ Other ____ <br />__ __ _ <br />K © Refuse Impoundments Ca.,~ el.od"'v.~4~1` _ <br />1 1 S <br />L ~ Other: Specdy ~_+K9P°'_`^^a ~at..~__5_M~ ~0.~~ <br />o-: <br />Distribution: Original ~ Field Olbce, Green ~ Headquarters. RWe ~ Slate's Copy. Yellow ~ rasped or's Copy. Pink ~ Fde Cgpv tE ~ 163 hlBd) <br />