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c7 ;~LY~ , <br />P ~^ ~~~ ~~~~~~~~~~~~~ ~~~ <br />Cc ti - ~- c.. <br />Y-L~'~wi(CC (. 1~ ~~I/J !j I Ir~l.l ollaaGns <br />United States Department of the Interior For Otfice use Oniy ~ <br />Office of Surface Mining <br /> <br />Mine Site Evaluation Inspection <br />Report ,a <br />~ , I <br />~ <br />I .n ,~ <br />I~ I i <br />I <br /> ; I <br />'/ r .•A M L ~!J <br />Balcn Report <br /> to Dale ~t Inspec hon <br />2. Name of Pelmitlee g MSHA Number yY-F'M-M'D= <br /> <br /> ~ b o a ~ ~r~ c o ~, ~ ~ -~ ~ , ~ I- ~ ~ y o o yla ~i <br /> 3. Street Adtlless I1. Slate Permit Number <br /> <br />t <br />s <br />, <br />o <br />~ <br />s <br />~ <br />~ <br />;-sa-o.s~~I~~~ ~~ <br />~ <br />~. City 5. State t2. Nam? of Mine <br /> <br /> <br /> <br />I I a <br />~I ~ + ~ __ <br />--~. _ <br /> <br />~ j- ' wi 'AEI <br />k ~I`I~~ rz I ~~ <br />!I ~ <br /> <br />i <br />j <br />_ _~`J <br />8. Zip Code 7. Area Code 8. Telephone Number 13 County Code 1<. Slate Coue t5 Strata t6. Slate Arca Olhce <br /> I <br />i <br />~; <br />17. OSM FiBld 18. OSM Area 19. OSM 20 Type o: Icspe^lror 21. Jornl Inspec hcn 2 InspeOtnr s'D <br />Ollice No. ONlce No. Sample No. ICodel Yes No 'I O. <br /> <br />r-' <br />r~ <br />~ <br /> ~_ .~ <br />23. Slatu9 2a T}pe e! Anivny g~ech apphcd Lie CO.esl. <br />A O ~ 7ype of Permit <br /> <br />B © Mina Status ICodel A ~ Steep Slope E i ~ AnlnraCrte <br />' <br /> <br /> <br />C t 0 Type of Facility (Coast <br />B ~ MnWllaln fup R2n~O.al F <br />u Y <br />i^~ r^7e,ar LdndS <br /> r <br />I <br /> <br />D (~ l • 3 Number of Permitted Acres Prime F2r m'ands <br />C I <br />L J u j ~ inCran Lan^_s <br />J <br /> D ^ Alluvial Valley FIQpr$ H ~~ Other <br />I <br />E Q 9 • ~ Numher of Disturbed Acres -' <br />J <br />25. Performance Sa~da~dc ICodrs: <br />Inslruellonc IndiCatP Compliance code Far any standare marked 2 cr 3 prpvrdP. narra true In su ppo•I tl+~s tlelPrmrnatnn <br />Standards Thal Limn the EIIeCis Io Ins Permll Area Slandarnp Tnal Assu•e ReU n.m al:n9 Oaalrty and Tr men nc95 <br />A ~ Distance Hrphi Dlhons M !~ Tppsod Hpnnlrnq <br />B ~ Mining Within Permit Boundanes N ~ ^achhluuq anp G~~,Lnq <br />C ~ Sipns antl Markers O I %i Fr.'ioo,nS II••clan~al•rn, ;,~ r, a ~r• <br />I <br />D ~ Sediment Control Measures c , !1 R.•veu='.rlrm i'••r,w•••~n•~ra, <br />E ~ Deslgn and C¢rldicatron Requvements- I ~ Lh:.po:.d: w F., ob> lunn <br />Sedtmenl Control <br /> <br />F ~ Elflu ent Limits ~ i ~ M.m,pn nl of A,.rtl ur In.rc hlnenais <br />_ <br />I <br /> <br />G I / I Surface Walar Mon~tonnq > <br />~~ Hrgnwdrl ELmin,lhan <br />_ <br />H <br />Gl Ollpd Water MOOrlOUnq <br />~ Il ~I Pu,l Mrnu r, L.um Ir., <br />I I / BlaSnnq PrnCeaure5 <br />Lr <br />!~ r <br />rbnn, ..rq'. r,r ~ <br />.... •..ltu,n 'd (I:v •~ <br /> , <br />. <br />J ~ HaullACCpss Hnad Ue s~qn and Maimnnano• <br />T <br />K I / I Rrluse Impuunnmenl5 .. nn..~ <br />I ~ ! (llhar .Rper nv <br />I <br />:,ntnoudnn lit ryuun r.-r)r)n..r IN,-•n .... mc:~„.u. .r. ~.'.. ~.. ~ ~. ~.. r..~ <br />