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Pegr : OI ] PdprS <br /> United States Department of the l,.,erior <br /> Office of Surface Mining <br /> Mine Site Evaluation Ins pection Report <br /> <br />26. Slate Permit Number 27. Date of Inspection <br /> (YVMMDD) <br /> - o ?~ O <br /> <br />28. Yes N Do mining and reclamation activities on the site comply with the plans in the permit? <br />C7 It no, provide narrative to support this determination. <br />29. Indica te number o1 complete and partial inspections conducted by th e State to dale for this annual review perrotl: <br />29a. ®Number of Completes 29b. ~ Number of Partials ~&/~G 4~ <br />30. Indicate number of complete and partial inspections required by the Slate during Ihis annuals review periotl: <br />30a. ~ Number of Completes 30b. p~ Number of Partials <br />31. Has ir-Speciion hequency been met? <br />Yes No Yes No <br />31a ^ Completes 31b. ^ Partials <br />32 FEDFJiAL ENFORCEMENT INFORMATION. [Enter violation number. Check appropriate box(esll <br />TerWay Notice No. Notice of Violation No. Cessation Order No. Violation Codes <br />A ^ ^ ^ Authorizations to Operate <br />B^ ^ ^ Signs and Markers <br />C ^ ^ ^ Backfilling and Grading <br />D^ ^ ^ Highwall Elimination <br />E^ . .................... ^ ^ Rills and Gullies <br />F ^ ^ ^ .... .................... Improper Fills <br />G FYI . <br />L('J ._~ ~j ^ <br />... ......... ....... ^ .... <br />.............. .................... Topsoil Handling <br />H ® _ .__~. -p 3 ^ <br />.- a........... ....... ^ .... <br />.............. .................... Setliment Ponds <br />^ . .................... ^ ^ Effluent Limits <br />J ~ ^ ^ .... .................... Water Monitoring <br />K ^ ^ ^ .... .................... Buffer Zones <br />E ~ 3 ~ ^ ^ .... .................... Roads <br />M ^ .. <br />^ ..... <br />....... ^ .... .................... Dams <br />. <br />N ^ . .................... <br />.. <br />... <br />.................... ^ ....... .. <br />.............. ^ .... .................... Blasting <br />O ^ ^ ^ Revegetation <br />p ^ ^ ^ Spoil on the Downslope <br />O^ ^ ^ Mining Without Permit <br />R ~ ^ ^ Exceeding Permit Limits <br />g ^ ^ ^ ... . ........... ......... Distance Prohibitions <br />T ~ ^ ^ .... ............ ........ Toxic Materials <br />U ^ ^ ^ .... ............. ....... Other Violations <br />33. Nam of Authorized~epre5entative (print or type) 34. Administrative Information <br /> i <br />P <br />i <br />R <br />H <br /> ew ( <br />erm <br />ev <br />ours) <br />t <br />a D • i7 <br />Signature of Au ized Re re five <br />~ Date e2 rl O b ~ • D Travel Time (Hours) <br />Sig _ <br />of "ewing O ate c ~ • 5 Inspection Time (Hours) <br /> ~ GG <br />4 Z Q d p i3 • a Report Writing Time (Hours) <br /> <br />UiSrrtEUllflrl: Ollglndl Field Orrice, l;reen ~ Meadauanars. Buc ~late'S Copy. Yellow ~ inspector's Copy, Pink ~ Fiie Gopy E ~ 163 (11831 <br />