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Document 11_7F <br />Revised 10/~". <br />A MMgUE01 G?PL NLiiICE n;= VIOLATION G]L'iliG F?RM <br />CC] 'J Ir!L AT IiiN NUM C'Ek........... C_ - 9 ~? - ~ ~ <br />f_ <br />CC] MINE OR E:T Li~RAI'ION ID d... C - R ~_ - ~ II <br />_L Q - __ <br />CATEGORY OF UIUL.ATION ..... V <br />CC] INS FEC TI ON DATE............ O 5 / ~ N / q J <br />VIOLATION TOPIr~S <br />V IOL]jjON_ TOPICS <br />CCI PRIMARY IOFIC.... .. S G SEC UNUAR'/ TOF IC.. .. 7 S TERTIARY TOPIC.... __ <br />(CL-IE+ AD=Administrative, RD=Roads, <br />AP=Air Resource Protection, RS=Reclamat ion Success, <br />AR=I(vailability of Records, RV=R ev egeta tion, <br />BG=Flat kfilliny 6 fir ading SB~=Subsiden ce, <br />CR=(:ontemporaneous Reclamation, SC=Sediment Control, <br />E S•E:xcrsz SDoil 5 Dev. Waste, SJ=°lide; S Other Damage, <br />EX=Explosives, SF=Support Facilities On-site, <br />FW=Fish 8 Wildlife, SM=Signs S Mar kerz, <br />H6=hydrologic Balance, SN=S uVpart Fac s, Not On-site, <br />HM=F(ydroloyic Monitor ]nq, SP=Special Categuriez of Mining, <br />MP =(ien. Compliance With Plan, TS=Topsoil, <br />PW=Processing Waste, OR=Other) <br />DATE ISSUED ................... ~ 5 / ~ (} / 'j ~~ <br />DATE OF ON-SITE HEARING....... / / <br />VIOLA iION DESCRIPTION+ <br /> <br /> <br />A A F=-- -r- ~'-- S la F E- 7 _ _-!= c2 ~ ~ s? R _ _I :_ <br /> f50 Spaces) <br />ABATEMENT_UI~E_U(\TE~_ SEPARATE _A BATEM _NT_DES CRIPTjONS_ <br />~ su <br />~~/ <br />/9 <br />am; ~ <br />L L r P ~~' o~N ~~ <br />Ca%r~ <br />~c ~S. <br />Sn <br />. <br />. <br />_ <br />_ <br />- --- -- _ ~_ <br />_ <br />__ <br />_ , <br />. <br /> <br /> <br />Y_ _"_- ='_ ~- T L~ __ !tit O ~ L~• __ __ __ __ __ <br /> <br /> (50 Spaces) <br />NOTES+ (1) CC] ~= Required entry for all Noti ce of Violat ion recurds. <br />OFERATOR_NOTE3 Enter "NATURE OF VIOLATION" narrative on opposite side into "NARRATIVE EDI1" screen. <br /> <br />