Laserfiche WebLink
Pape t of T Pages <br />Un~ States Department of the Interi~ <br /> Office of Surface Mining <br />Mine Site Evaluation Inspection Fleport <br />Za State Pertnft Number 2 '. Date of Inspection <br /> (YYMMDD) <br /> <br /> <br />?8 Yes No Do mining and reclamation activities on the site comply with the plans in the permit? <br />^ ^ If no, rovide narrative to sup ort this determination . <br />29. Indipta number of complete antl partial inspections conducted by the State to date for this annual review periotl: <br />29a. m Number of Completes 29b. m Number of Partials <br />3Q Indicate number of complete and partial rnspections required by the State during this annual review period: <br />30e. m Number of Completes 30b. ~~] Number of Partials <br />31. Has Inspection frequency been mat? <br />Yes No Yes No <br />31a ^ ^ Completes 31b. ^ ^ Partials <br />32 FEDEAAL ENFORCEMENT INFORMATION. (Enter violation number. Check appropriate box(es)) <br />Teo-Day Noflee No. Notice of Violation No. Cessation Order No. Violation Codes <br />A ^ ~ ^ Authorizations to Operate <br />B ^ ^ ^ Signs and Markers <br />C^ ^ ^ Backfllling antl Grading <br />D^ --------------------- ^ ^ Highwall Ellminallon <br />E ^ ^ ^ Rills and Gullies <br />F ^ --------------------- ^ ^ Improper Fills <br />G ^ ..................... ^ ....... .............. ^ ........................ Topsoil Handling <br />H ^ ^ ^ Setllment Ponds <br />^ --------------------- ^ ^ Effluent Limits <br />J ^ ^ ^ ........................ Water Monitoring <br />K ^ ^ ^ Buffer Zones <br />L ^ ..................... ^ ....... .............. ^ ........................ Roads <br />M ^ ..................... ^ ....... .............. ^ ........................ Dams <br />N ^ ..................... ^ ....... .............. ^ ........................ Blasting <br />O ^ ^ ^ ........................ Revegetation <br />P^ ^ ^ Spoil on the Downslope <br />D ^ ^ ^ ........................ Mining Without Permit <br />R ~ ^ ^ Exceeding Permit Limits <br />S ^ ^ ^ Distance Prohibitions <br />T ^ ^ ^ Toxic Materials <br />U ^ ^ ^ ........................ Other Violations <br />33. Name of Atdfroriaed Representative (print or type <br />Signature of AulMrized Representative Date <br />Signature of Reviewing Official Date <br /> <br />Distr+butiorc Orryinai ~ Field 16CB, Green - Heatlpuarf er5. Blue ~ Sla le'S Copy. Yellow ~ InspeUUr 5 Copy, Pinh Fi1F Copy iE - +&7 it/8v) <br />