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<br /> <br />P•pe 1 01 7 Pape! <br />United States Department of the Interior For Office use Only <br />Office of Surface Mining <br /> <br />Mine Site Evaluation Inspection <br />Report ,a <br />~ ,b ID <br />m <br /> Y V M M Bat[fI RlDOn <br /> <br />2. Name of Permltlee <br />g MSMA Number 10. Dale of lnspecliOn <br />(V V M M D DI <br /> <br /> 3. Street Atltlress 11. Slate Permit Number <br /> <br /> 4. City 5. State t2. Nam! of Mine <br /> <br /> <br />6. Zip Cotle 7. Area Cotle B. TeleDnone Number 13. County Cotle td. State Cope 15 <br />Strata 16. <br />tate Area ONice <br /> ~ S <br />j <br /> <br />17. OSM Fleltl 1B. OSM Area 19. OSM 2g Type of Ir.spectlon 21. Joint Inspection 22. Inspector's ID <br />Office No. Olllce No. Sample No. <br />~ (Code) Yes No <br />I ~~ No <br />~~ ~ <br />~6 ~ 7 0 <br />23. Status 24. Type of Actinty (check applicable goxesl. <br />A ~ ) Type of Permit I~ <br />~ <br />~n <br /> <br /> <br />B T k Mine Status (Code) ~ <br />X <br />~ <br />A 1~ Steep Slope <br />IVr~~'' <br />E ^ Anthracite <br /> B ~ Mountain Top ReniOVal F i~ Federal Lands <br />C Z a Type of Feclllty (Cone) <br />C ~ Prime Farmlands II~~VV <br />I <br />G <br /> <br />D ~; L1 p ¢ ,~, • C Number of Permrttetl Arras <br />' ~ <br />ntlian Lands <br /> D ~ Alluvial valley Floors H ~ Other <br />E C C 1 ', ~ • 0 Number OI Disturoed Acres <br />25. Performance S:anaartls ICodesl <br />In•truetfonc Intlicate compliance code. For any stantlartl marketl 2 or 3 prov~oe narratwe to support this tleterminatnn <br />Standards Thal Limit the Ellects to the Pwmlt Area Standards Tnat Assure Reclamation Oualny and Tlmehneps <br />~A ~ Distance Prohibitions M ~ Topsoil Hantll~ng <br />B © Mining Wlthln Permit Boundaries N ® Back!illing and Gratl~ng <br />C ~ Signs and Markers O ~ IL~ FOIIOwIng ReDlamatipn Schedule <br />L <br />D ~ Sediment Control Measures P <br />~ Reveyetation Requirements <br />E ~ Design entl Certiflcallon Requirements- O ~ Disposal of Excess Spoil <br />Sediment Control <br />R ~ Handling of Acid or Toxic Materials <br /> <br />F ~ Effluent Llmlts <br />5 ~ Highwall Eliminauon <br />G ^j' SuAace Water Monitoring <br /> T ~ Downslope Spoil Disposal <br />H a Ground Water Monitoring <br /> U ~ Post Mining Lantl Use <br />I O Blasting Procedures <br /> V ~ Cessation 01 Operations: Temporary <br />J ~ HaullACCess Road Design ano Maintenance <br /> <br /> <br />K ~ Raluse ImDOUntlment5 W ~ Other <br />I r.;. <br />L ® Other: Specify ~'~'6"~e'~t••• o ~:~ <br />-~~cL <br />Dls(rlbution: Original -Fleltl Office, Green ~ Heatlquarlers, Blue - St ale'S Copy. Yellow ~ InSpeclOr'S Copy. Pints ~ File Copy IE ~ 163 It/&T) <br />