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Dac ument I1Z7F Revised l0/;, AMMADEOI COAL NO iICE OF VIiiLA iION COUiNE FORM ____________________________________ CC] VTOLAT[ON NUM6ER........... C - "/ 3 - _~ 5 CC7 MINE OR EXPLORAi10N IU 0... L - J D - ~~ ~ S - __ __ __ __ __ __ __ CATEGORY OF VIOLATION ..... U CC] INSPECTION DATE............ n ¢ / ~ L% / ~ 3 UIOLATION TOPICS VIOLAIfON_l OP ICS CC) PRIMARY IOFIL,.... _ T _~ SECONDARY 70PIC.,.. /h ? TERTIARY 70PIC,.., S (CL-IE^ AD=Administrative, RD=Rnads, AP=Air Resource Prataction, RS~=Rrclam at ion Success, AR=Availability of Records, RV=Ri~v egetation, B6=B ac kfilliny 8 6r ad ing SB~=Subsidence, CR=Contemporaneous Reclamatio n, SC=Sediment Control, ES=Excess Spoil S DIV. Wa^, te, SU=Side-, S Other Damage, EX=Explosives, 51~=Support Facilities On-site, FW=Fish S Wildlife, SM=Signs 3 Markers, H6=Hydrologic Balance, SN=Support Fac s, Not On-site, HM=Hydrologic Monitoring, SP=S1!ecial Categories of Mining, MP=Gen. Comyliance With Plan, TS=T ~~p soi 1, PW=Processing Waste, OR=0 :h er) DATE ISSUE D ................... _6 ¢ / ~_ ~ / DATE OF ON -S17E HEARING....... / / VIOLATION_ DEBCRIPTION± f'o ~ s y -- -- r ~_ s_ ~ _i d ~ nl _C _ i n~ _T o - -- -- - - -- -- -- -- -- S P o i [- - -- - - --------- -- -- --- ----------------------------- (50 Spaces) ABATEMENT_ UUE_UATES_ SEPARATE_A B~TEM=NT_DESCRIPTjQNS_ -- -- -- -- -- -- -- -- -- - -- -- -- o ~ , r -- -- -- -- -- ~ , 93 h v S A- ~ -- ~- -- -- -- -- ~ T n -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- ~ s c) ~ ~ _ _ _ _ _ _ _ - -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- f50 Spaced NOlE6e (1) CC7 = Required entry fur all N oti ce of Violat ion rucards. OPERA_T OR_NOTE± Enter "NATURE OF VIOLATION" narrative on opposite side into "NARRATIVE EDIT" screen. + .