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Document I1 ~TF AMMADE .': CU A.L NOTICE O~ VIOLATION CUDiNG FORM ____________________________________ CC] VLJLAT SUN NUM EEft ........... C_ - t~~ /~ - J p~ „~ CC7 MINE OR EXPLORATION IU 6... ~ - 8 _1 - 4 J_ 3 - __ CATEGORY OF VIgLAT [ON ..... V qq b LC7 SNSFECTIUN DhTE............ Q _L / I_'7_ / ~ 3 VIOLATION TOPICS VIOLATION_T dP ICy CC7 PRIMARY TOPIC..... ~ G SECONDARY TOPIC.... __ __ Revised t0/:. TERTIARY TOPIC.... __ __ (CL-IE• AD=Administrative, RD=Roads, AP=Air Resource Protection, RS~=Reclam at Tan Success, RR=Availability of Records, RV=R rv egrtation, BG=B ac kfill my 8 Grading SB=Subsidence, CR=Contemporaneous Reclamation, SC-S rd invent Control, ES=Ezcess Spoil 8 Uev. Waste, SU=Slides 8 Other Dama3e, EX=Explosives, Sf~~~S up port Facilities On-site, FW=Fish & Wildlife, SM=Signs 8 Marker's, HD=Hydrologic Balance, SN=Support Facs, Nat On-site, HM=Hydrologic Monitoring, SP=Special Categories of Mining, MP=Gen. Compliance With Plan, TS=Topsoil, PW=Processing Waste, OR=Other) DATE ISSUED ................... Q 9_ / ~ 7 / p DATE OF UN-SITE HEARING....... / / VIOLATION DESCRIPTION* ______________________ F£i1_~v!~ ~ __J_Q__C'~H.i_N7_fiJ_N___C~S2 R12__ ~~-~~H-- -- -------------- - -- - -- -- -- -- -- -- -- -- -- I5U Spaces) ABATEMENT DUE DATCS ____________________ SEPARATE ABATEMENT DESCkI PT IONS ________________________________ Io/o 1_/23 J?EEsZA B ~~ s~__~9Al2__121.7~H ______ -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- - - - -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- - -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- (50 -- -- -- Spaces) .ti3 il1E5s (11 CC] = Required entry for all Noti ce of Violation records. ~L,•f ERATOR_NOTEx Enter "NATURE OF VIOLATION" narrative on opposite side into "NARRATIVE EDf T'" screen.