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~~ <br />ii <br />Unlted:States Department of the Irrterior <br />,~ <br />~' <br />:--.~ Office.Af Surface Mining Ir~ <br />"' M(ne Slte Evaluation Inspection Report <br /> <br />26 State Permit Number ~ 27. Date of Inspection <br /> (YYMMDD) <br />2t1 Yee No Do mining end reclamation activities on the site comply with the plans in the penult? <br />^ It no, rovlde nanetive to au ort this determination. <br />Za Indicate number of complete and partial Inspections conducted by the State to date itor this annual review Derlod: <br />.r <br />28a ~ Number of Completes 29b. ~ Number of Partials • <br />30. Indicate number of complete and partial Inspections required by the State during this annual review period: <br />34a ®Number of Completes 30b. ~ Number of Partials <br />31. Has Irupsctlon frequency been met? <br />Yes No Yes No <br />31a ~ ^ Completes 31 b. ^ ® Partials <br />32 FEDEERAL FJ~If-0RCEMENT INFORMATION . [Enter violation number. Check appropriate bon(es)] <br />Ten-0ay Nance No. Notice of Violation No. Cessation Order No. Violation Codes <br /> <br />A ^ ..................... ^ ...... <br />............... Authorizations to O crate <br />D <br />B ^ . <br />................... ^ ...... ........:...... ^ ........................ Signs and Markers <br />. <br />C ^ ..................... ^ ...... ............... ^ ........................ Backfllling and 4reding <br />O ^ ..................... ^ ...... ............... ^ ........................ Hlphwall.Ellminetlon <br />E ® <br />^ ^ ....... ~............... Rills and Gugles <br />..................... <br />...... <br />F ^ ..................... ^ ...... ............... <br />-.,....• ..............•• <br />............... <br />Improper Fills <br />G Topsoil Handling , <br />H~ FQy.'t,,...'r• P°S~ ^ ^ Sediment Ponds <br />F <br />~ <br />D~ <br />St <br />sa <br />~ d,f, <br />1 ^ <br />tifir~ ^ ^ ~ Effluent Limlta <br />~ Water Monitoring ~ ~~ .~ <br />K ^ <br />^ .............. <br />Butter Zones ~~ <br />...................... <br />...... <br />~ ® RaAC1.G..,~J..aT...... ^ ...... ............... .. <br />............... ^ ........................ Roads <br />M ^ <br />. <br />^ ^ ........................ Dame <br />........... <br />......... <br />...... <br />N ^ ..................... ^ ...... ............... <br />............... ^ ...~....~...............~.. Blasting ~ . <br /> <br />O ^ ..................... ^ ...... .......................• <br />............... ^ Reve elation <br />0 <br />P ^ ..... ................~ ^ ~...... ........~.:..... ^ .......:............., ..~ .~ Spoil: on the Downslope .. <br />~ ^ ..................... ^ ...... ............... ^ .....:.................. Mining Without Permlt~ <br />R ^ <br />..............:...~..: ^ ...... ...........:... ^ ....:.:...........:....::. ~ Exceedlgfl Permlt.Llmlts. . <br />,,. .._. <br />. <br />S ^ <br />^ . ^ ......:................. <br />. <br />. Distance Prohibitions <br />..................... <br />..-... <br />T ^ ^ .... <br />....... <br />. <br />^ ~ ~ ~ ~~ Toxic Matertela <br />U ^ ^ ^ ~ ~ .~ Other Vlolatlone ~_ .. , <br />. 33 Nema~ol Autlrw¢ed~Rspreeentative (print or type) ~~~ - - •:.~... - . .. - . . ... .... .. .. <br /> <br />~af.Autlrafaad RepreaentetNe ~ ~ . ~ ~ _ ~ ~ 'Date . . Q f ., . , 0 :. .:.. ..: .. ....... .:. ~.:~ <br /> .. ... .. . <br />of rp. lal Data 0 -~ p <br /> <br /> <br />Papa 3 0l 2 Papea <br />OkmWurf~c.OrfghW - FNhI Orllce, Green • lisaequarters, BWs -State's Copy, Yellow • InaDaptor'e Copy, Dink - Flla Copy ~ IE - 163 (lla3) <br />