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iii iiiiiiiiiiiu iii <br />Papa 1 al t Papas <br />. ~ 999 ~~~~~~~~ ~D <br />~~~ oaf <br />United States Department of th e Interior For Offic e Use Only <br />Office of Surface Min ~~ <br />. <br />Mine Site Evaluation I ,a <br />~ ,b ,q <br />m m <br /> Y Y M M Batch Report <br /> t0. Dale of Inspection <br />2. Name of Permit[ae 9. MSHA Number (V V M M D D) <br /> - - 87036 <br /> E n1 ) ~~ e R A L S ,, c o v o a 9 ~ <br />3. Street Atltlless 11. Stale Permit Number <br /> P o p o x d ~ 3 c - s l - 0 3 7 ~ <br />4. City 5. Slate t2. Name of Mine <br /> I <br /> I~ 1~ E P c r D E N C E K A ~ kt P <br />6. Zip Cotle 7. Area Cotle 6. Telephone Number 13. County Code 14. State Code t5. Strata t6. State Area Olllca <br />~73~1 3 I~ ~' I I I SM t.y,~ ~ ~ 0~ <br />77. OSM Fieltl 16. OSM Area 19. OSM 20. Type of Inspection 21 Joint Inspection 22. Inspector's ID <br />Office No. Offlca No. Sample No. (Cotle) Yes ~o <br />I ~ No. <br />a ~ 3 ~ 3 L" i <br />~ ,~ o <br />23. Status 24. Type e{ Activity (c'leck applicable oozesl. <br />A © Type of Permit <br />A ~ Sleep Slope <br />E ^ Anthracite <br />B ® Mlne Status (Code) <br />B ~ Mourilain Top Removal <br />F ~ Federal Lantls <br />C (J Type of Facility (Code) <br />C ~ Prime Farmlantls <br />G ~ Indian Lantls <br />D 0 0 7 ~ O• O Number of Permlttetl Acres <br />D ~ Alluvial Valley Floors <br />H ~ Other <br />E p ~, $ O • o Number of Disturbetl Acres <br />(, Nov - F.~e 4i1~ <br />25. Performance Stantlartls (Codesl <br />In•trudlon•: Intllcate compliance code. For any standard marked 2 or 3 provide narrative In support this determ inatinn. <br />Stantlartls That Limit the Elfects to the Permit Area Stantlards That Assure Reclamation Quality antl Timeliness <br />A ~ placenta Prohibitions M ~ Topsoil Handling <br />B ® Mining Wlthln Permit Boundaries N ® Backfilling ano Grading . <br />C ~ Slpns antl Markers O ~ Following Reclamation Schetl~Ile <br />D © Sediment Control Measures P ~ Revegelation Requirements <br />E ~ Design end Certification Requirements- O ~/ Disposal of Excess Spoil <br />Sediment Control <br />R ~ Handling of Acid or Tozlc Materials <br />F ~/ Ellluent Limlta <br />S ® Highwall Elimination <br />G ~ SuAace Water Monltorlnp <br /> T ~ Downslope Spoil Disposal <br />H ~ Ground Water Monltorinp <br />U ~ Post Mining Lantl Use <br />I ~ Blastlnp Procetlurea <br />V ~ Cessation of Operations: Temporary <br />J ® HaullACCesa Roed Design and Maintenance <br />W ~ Other <br />K © Reluse Impountlmenta <br />L ~ Other. Speci/y <br />Dlatrlbutlon: Original -Field Office, Green - Heatlquartars. Blue ~ State's Copy, yellow ~ Inspector's Copy. Pink ~ File Copy IE ~ 163 (1/631 <br />