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iii iiiiiiiiiiiiiiu~. <br />999 -..- <br /> <br /> <br /> RE <br />United States Department of the Interior For Office use Only <br />Office of Surface Mining ~ 199 <br />Mine Site Evaluation Inspection Report ~ ,a ,b ,q <br /> <br />a ~ ~ m <br /> Di <br />+ amat on lorti Y M M aai=~ Report <br /> 70. Date ul Inspection <br />2. Name of Permitteb g. MSHA Number (Y Y M M D D) <br /> l ~ ~ . ~ .a ~ ~. ,~ U . ~ 0 ~ . I ~ ~ ~~;. <br /> 3. Street Atltlress ~ -- <br />'^ <br />/1 ~ ~ ~ <br />t~ <br />i1. State~Permit Number <br />L <br />i <br />L <br />1~L:JSF~1 <br />4. City 6. Stale . <br />- <br />- <br />o <br />f M <br />ine <br />t <br />2 <br />N <br />a me <br /> <br />j <br />'~ <br />S <br />r <br />/~ <br />m l~~ ~TI~fI~ TTT~~~TTT T1 <br />~~ <br />~, <br />~'( <br />~ <br />~ <br />I <br />~ <br />f Y lI 1 i I~ M~ I r c. ~~~ I I ~J~ <br />8. Zlp Code 7. Area Code 8. Telephone Number <br />r ~ t ~ 13. County Code'IjI1.,9~IISta~IIItB Code ;~15m~Str lata <br />LJ~ vLIJ_J LL ,~1'6~Sl~ate Area Office <br />L_LJ <br />17. OSM Field 1B. OSM Area 19. OSM 20. Type of Ir.spe~uor. 21. Joint Inspection 22. Inspector's ID <br />Office No. Olflce No. Sample No. <br />~ D ~ (Code) Yes No <br />~~ [~C~ _ No. <br />^~r_ <br />23. Status 2a. Type of Activity (check applicable coxes). <br />A m Type Of Permit <br />A ~ Steep Slope <br />E 7 Amhrar,~le <br />B ~ Mina Status (Code) <br />B ~ Mountain fop Ren~uval <br />F Ll Federal Lands <br />C 1 r) Type of Facility (Code) C Prime Farmlands <br />G C~ Indian Lands <br />D o 1 ~ • 1 Number of Permitl9d Acres <br />D ~ Alluvial Valley Floors <br />H I , Other <br />E , q • o~ Number of Disturbed Acres ~„ <br />J.. ~ <br />25. Performance S;zntlartls (Codes: <br />In•tructbn•: Indicate compliance cotle. For any stantlard marked 2 or 3 provide narrative to support this tletarmination. <br />Stantlertls That Limit the Ellects to tha Permit Area Standards That Assu•e Reciamalior, Quality and T~melineus <br />A ~ Distance Hrohibitions ~ M ~ Topsoil Handling <br />B ~ Mining Within Permit Bountlaries N ~ Back!illinq and Grztling <br />C ~ Signs antl Markers O j~ Following Reclan~albn Schedule <br />D ~ Sediment Control Measures P ~ Reveyetatinn Requirements <br />E ~ Design and Certification Requirements- O ~ Disposal of Excess Spoil <br />Sediment Control <br />q n Handling of Acid or Toxic Materials <br />F ~ Effluent Limits 4J <br />S ~ Highwall Elimination <br />G ~ Surface Wafer Monitorlnp <br />l <br />H ~ Ground Water Monitorlnp T 4 Downslope Spoil Disposa <br />mil-' <br /> U ~ Post Mining Land Use <br />I a Blasting Procetlures i !, ~I s,41 '. ,}~ <br />V ~ Cessation of Operations: Temporary <br />J © Haul/Access Road Design and Maintenance <br />W ~ Other ____ <br />.- <br />K ~ Relusa Impoundments r ~ v <br />- v • ' <br />L ~ Other: Specify <br />DiatrlDUllOn: Original ~ Field Office, Green ~ Headquarters, Blue ~ State's Copy. Yellow ~ Inspector's Copy. Pink ~ File Copy IE ~ t63 (1IB3) <br />~~ <br />Papa t ~2 Pape'Tb <br />