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United States Department of the Interior <br />Office of Surface Mining <br />Mine Site Evaluation Inspection Report <br />2A Stats PemJl Number ~ 27. Date of Inspection <br />- ~ (YYMMDD) <br />28 Tss No Do mining and reclamation activities an the site comply with the plans in the permit? <br />2g. IrMirte number o} complete and partial inspections conducted by the State to date for this annual review per(od: <br />?9'a m Number of Completes 29b. ~ Number of Partials ~ "~ <br />30. Ir~eate mrmbar of complete and partial Inspectlona required by the State during this annual review period: <br />3Da m Number of Completea <br />30b. m Number of Partials <br />31. Has Irmpsctlen lragtranry been met9 <br />Yee No Yes No <br />31a ~ ~ Canplates 31b. ~ Q Partials <br />32. FEDERAL ENFORCEMENT INFORMATION. [Enter violation number. Check aDPropriate box(es)] <br />Ten-0ey Notloe No. ~ ~ ~ Notice of Violation No. Cessation Order No. <br />_• <br />- - - - - - - <br />- <br />_~ , <br />A ^ ...................:. ^ .................. ... ^ ...............:........ <br />9 ^ ..."' ............... ^ .................. ... ^ ........................ <br />C ^ ..................... ^ .................. ... ^ ........................ . <br />O ^ ..................... ^ ................... .. ^ ........................ <br />E ^ . .................... ^ ..................... <br />F ^ . ..............:..... ^ ..................... <br /> <br />H ^ . .................... ^ ..................... <br />1~ <br />K~ <br /> <br />Y <br />N ^ ..................... <br />O <br />..................... <br />P~ <br />..................... <br /> <br /> <br /> <br /> <br />O ^ • .................... ^ ..:.................. ^ .. ...................... <br />R ^ ..................... ^ ..................... ^ ........................ <br />T ^ ..................... ^ ..................... ^ ........................ <br />4 __ .- .. -.. _ r r. <br />33 Name o! Auhorized Aepresentative (print ar type) <br />Signature of AuHwr~ed Representative Date - -- - <br />Signature oF-ReHarinq OHiclal--~ Date ~ ,.- <br />~~ ~ - <br />Violatlan Codes <br />Authorizetlona to Operate <br />Signs end Markers <br />Backtllling and Grsding <br />Highwall Elimination <br />Rills and Gulllee <br />Improper Fills <br />Topsoil Handling <br />Sediment Ponda <br />Effluent Limits <br />Water Monitoring <br />Buffer Zonee <br />Roads ' <br />Dams <br />Blasting <br />Revegetatlon <br />Spoil on the Downslope <br />Mining Without Permit <br />Excesdlrlg Permit Limits <br />Distance Prohibitions <br />Toxic Materials <br />Other Vialatlons <br />DbtrlDWlpre Original ~ Fleltl OHIp s. Green ~ Headquarter], Blue ~ Slala'a COOY, yellow ~ In Spector s Copy, Plnk ~ File Copy IE - 161 l~/~1 <br />