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' Ur•d States Department of the Intern. <br /> Office of Surface Mining <br /> Mine Site Evaluation Inspection Report <br />2!Z Slate Pamlt Nunrbsr 27. Date of Inspection <br /> (YYMMDD) <br />C - 5- bl ~q t7r <br />2a Yes NO Do mintnp and reclamation activities on the site comply with the plans in the penult? <br />O B If no, de narrative to su ort this tletennination. <br />29. Indlrate number of complete and partial Inspections contluctetl by the State to tlate for this annual renew periotl: <br />29a m Number of Completes 29b. m Number of Partials <br />30. Indicate number of t:ortrplete and partial Inspections required by the State tlunnp this annual review period: <br />30a ~ Number of Completes 30b. ®Number of Partials <br />31. Has Irupeetion hequency been mel9 <br /> Yes No Yes No <br />31a © ^ Completes 31 b. ^ ^ Partials <br />32. FEDERAL ENFDfiCEMENi INFORMATION. IEnter violation number. Check appropriate boxles)] <br />Ten-0ry Nollee No. Notice of Violation No. Cessation Order No. Violation Codes <br />A ^ ^ <br />..................... ..... .. ^ Authorl2ation5 1o Operate <br />. ..... ........ <br />B ^ .... ^ <br />.................. ....... ^ ........................ Signs end Markers <br />.............. <br />C~ •.~pr Z •.....,..,. ^ ....... <br />. .............. ^ Backflllln0 entl Gradlnp <br />........................ <br />D^ t <br />...,..__...•...,...._ ^ ^ Hiphwall Ellminetlon <br />E ^ ..................... ^ ....... .............. ^ ......................... Rills and Gullies <br />F^ ..................... ^ ^ ~ Improper Fills <br />. G ^ •••.••••••••.••••.... ^ ^ Topsoil Handling <br />H~~ ~1,,/ Z ^ ^ Satliment Ponds <br />I ^ ^ ^ Effluent Limits <br />~J ^ ^ ^ ........................ Water Monitoring <br />K ^ ^ ^ ........................ Buffer Zones <br />.L ^ _....--•--.._........ ^ ....... .............. ^ ......................... Roads <br />Y ^ ..................... ^ ....... .............. ^ ........................ Dams <br />N ^ ..................... ^ ^ Blasting <br />O ^ _ _ ^ ^ ........................ Revepetatlon <br />P ^ __. _.. _.•...•_.__. _._ ^ ^ ~ SPOII on the Downslope <br />O ^ ..................... ^ -...... .............. ^ ......................... Mining Without Penult <br />R ^ ......... ......'..... ^ ....... .............. ^ ........................ Exceedin6 Permit Lfmtts <br />S ^ ^ ^ Distance ProhlDltions <br />T ^ ^ ^ Toxic Materials <br />U ^ .......... ........... ^ <br />........ ^ ........................ Other Violations <br />.............. <br />r <br />'33 of Authorim0 Representative (print or type) <br /> ~ <br /> f <br />K <br />d <br /> p <br />~ <br />u ree <br />ntative pate <br /> (,l)G)fi ^ ~ o <br />'rrwae ~ indOfficial <br />v 'Date <br />C O ~ ~ <br /> ~ ~ ~~ s <br />z <br /> - <br />o <br />Dbhloutiorc thipinat - Fieltl Orrice, Green ~ Headpueners. Bwe ~ State's Cooy, veuow ~ inspectors Coov. Pink ~ Pde Coov IE ~ 763 ni631 <br />