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Document I1?7F <br />A MMADE01 COAL NU IICt OF VIOLATION G]GiNG FOFM <br />CC] UIOLATION NUM6ER........... C_ - ~ _~ - _3 _[ _ <br />CC] MINE OR EXPLORATION IU 9... _C - ~ ~ - _~_~ ~_ __ <br />CATEGORY OF VIfJL AT[ON ..... V <br />CC7 INS FEC TIUN DATE............ / ~ / ~ ~/ ~ / <br />VIOLATION TOPICS <br />VIOLATION TOPICS <br />________________ <br />Revised 10/°; <br />CC7 PRIMARY IOPIC..... S ~ SECONDARY TOPIC .... TERTIARY TOPIC.... <br />ICL-iEa AD=Administrative, RD=Roads, <br /> AP=Air Re so urcn Protaction, RS=Reclamation Success, <br /> AR=Availability of Records, RV=Revegrtation, <br /> BG=Bac kfill my 8 fir ading SB=Subsidence, <br /> CR=Contemporaneous Reclamation, SC=5ediment Control, <br /> ES=E zc ess Spoil 8 Uuv. Waste, SU=Slides 8 Other Damage, <br /> EX=EHplosives, S1~=Support Facilities Dn-site, <br /> FW=Fish 8 Wildlife, SM=Signs 8 Markers, <br /> HB=Hydrologic Balance, SN=Suppark Fac s, Nat On-site, <br /> HM=Hydrolny is MoniSoriny, SP=Special Categories of Mining, <br /> MP=Gen. Compliance With Plan, TS=Topsoil, <br /> PW=Processing Waste, OR=Other) <br />DATE ISS UED ................... ~ ~/ 3 / / G'~ <br />/ <br />DATE OF ON-SITE HEARING....... / / <br />VIOLATIQ N_DESCRTPTIONs <br /> - -- -- <br /> _~ r_'1 ~= N ~ -- -~ ~N-~ -- -- -- -- -- -- -- -- -- -- -- -- -- -- <br /> 150 Spaces) <br />ABATEMEN <br />________ T DUE DATES SE <br />____________ __ PARATE ABATEMENT DESCRIPTIONS <br />______________________________ <br /> <br /> --------------- ----------------------------------- <br /> <br /> <br /> -- -- -- -- -- -- -- - <br />. - -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- <br />150 Spaces) <br />NO1~ESa (1) CC7 Required entry for all Notice o f Viulat ion records. <br />OFERATOR_NOTE+ Entrr "NATURE OF VIOLATION" narrative on opposite side into "NA,RHAT I'JE EDIT" screen. <br />/I <br />' ~1 <br />