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)ac ument 11_°7F I Revised 10/", <br />SMMADE01 Ci)AL NLiTICE fn= VIOLATION COL'iNG FORM <br />CC] VIOLATION NUMBER........... C_ - ~ ~ - S! ~ 1 <br />CC] MINE OR EYPLORATION IU a... C-- ~Z- D SS <br />-- -- -- -- -- -- -- <br />CATEGORY OF VIOLATION ..... V ~/ q <br />CC] INSPECTION DATE............ __ b / 1 ~ / _/ Z <br />VIOLATION TOPICS <br />VIOLATION TOPICS <br />________________ <br />CC] PRIMARY TOPIC..... SG SECONDARY TOPIC.... __ __ TERTIARY TOPIC.... __ _ <br />(CL-IEa AD=Administrative, RD=Roads, <br />AP=Air Rasource Pro}ection, RS~=Reclamation Success, <br />AR=Availability of Records, RV=Revegetation, <br />BG=BackFilliny 3 Grading SB=Subsidence, <br />CR=Contemporaneous Reclamation, SC=Sediment Control, <br />ES=Excrss Spoil 3 Uev. Waste, SU=Slides 3 Other Dam aye, <br />EX=Explosives, SF~=Support Facilities On-site, <br />FW=Fish 3 Wildlife, SM=Signs 3 Markers,' <br />HB=Hydrologic Balance, SN=Supyort Facs, Not On-site, <br />HM=Hydrologic Monitoring, SP=Special Categories of Mining, <br />MP=Gen. Compliance With Plan, TS=Topsoil, <br />PW=Processing Waste, OR=Other) <br />DATE ISSUED ................... -_ J / 1 ~ / y <br />DATE OF UN-SITE HEARING....... / / <br />VIOLAiION_DESCRIPTION• `` ~ ~ <br />(50 Spaces) <br />ABATEMENT UUE UATES SEPARATE ABATEMENT UESCRI PTIONS <br />____________________ ________________________________ <br />'I f50 Spaces) <br />NOIES• ll) CC7 = Required entry for all NOt icu of Violation rucords. <br />OPERATOR_NOTEs Enter "NATURE OF VIDLA TION" narrative on oppesi to side into "NRAAA7IVC CDI 1"' screen. <br /> <br />