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<br />. '3 <br />f <br />~( <br />1 .. <br />~ `.. ~ W"''"" <br />Papa r of x Pape <br />United States Department of the Interior <br />Office of Surface Mining <br />Mine Site Evaluation Inspection Report ~ - <br />, ._ ,.c,t,.., ', <br /> <br />, .. ..1 .. , ... .. <br />2. Name of Permlttes 1 `: ~ ~ -.:+ + <br />, u. 1. 'ai~n-il <br /> I .; <br />3. Street Address ,~ . <br /> 1 <br />d. Clly 5. State <br /> <br />6. Zlp Code 7. Area Code 8. Telephone Number <br />'I v ® S o <br />For Office Use Only <br />1a tb 7c <br />m m <br />Y Y M M Balch R•DOn <br />1. - ,- ai.. .. , , <br /> <br />9. MSHA Number .fi. .n..' 10. Date of Inspecllon <br />(Y Y M M D D) <br />0- DD - ~~~~. . 8 7 D 7 <br />il. Seale Permit Numb <br />er <br />. ,. . <br />. <br />'. -. <br /> p <br />8 ~ <br />I ; <br />12 <br />Name <br />f Mine <br />~ ~ d ~ ~ ~ ~ <br />l~l i <br />l e <br />I -1 k~ 1~ l e e k Ir e ~ ~l e h' <br />7J. County Cotle~ 14. Seale Code 15. Strata <br />ID3 <br />~0 m 16. Slate Aroa Olllca <br />OI <br /> ,~~ <br />17. OSM Field 16. OSM Area 1B. OSM 20 Type of Inspection 21. Joint Inspection 22. Inspector's ID <br />Olllce No. Olflce No. Sample No. Y <br />Co <br />e <br />s No <br />e) No. <br />m ~ o a ~~ <br />,J <br />,~~ <br />~~~~~ rr <br />~ <br />Ln~K~J ~1 ~ ~ I t ' <br />29. Status 26. Type of Activity (check applicable Oo%es). <br />A ® Type of Permll 1~'~ <br />A ~ Sleep Slope <br />T <br />B I u I I <br />~J <br />~~ _. ~ .. r <br />: Mine Stelue (Coda) E ~ Anthracite <br />4- <br />' 'C ®` <br />~ " ` ~ ~ <br />I ~TYDe of Faclllty (Code) ' ~ <br />~ • ' B ~ Mourilain iop Removal F <br />- ~ ~ - ~ Federal Lands <br /> C ~ Prime Farmlands G ~ Intllen Lands <br />D • Q ~ Number of Permitt•d~ACr•s ~ "' <br /> <br /> <br />~ <br />D ~ Alluvial Valley Floors H ^ <br />Other <br />E Q D • Number of Dleturbed Acres ,+ <br /> 25. Performance Standards ICotlesl <br />In•Iruclbn•: Indlcale compliance code. For any alandard marked 2 or 3 provltle narrative In support Ihis Oelerminetlnn. , <br />Slandartle That Llmlt lha Effects to the Permll Area , , . Stantlartls That Assure Reclamation Oualily and 7imellnecs , <br />A ~ Distance Prohlblllone M ~ Topsoil Handling <br /> <br />B ::<'.i • <br />a Mlning Wlthln Permll Bauntlerles ~ <br />•I ' <br />i <br />N ~ Backtillinq ano Grading <br /> <br />C . <br />~ Signs and Markers ~ <br />O L,J Following Reclamation Scbetl~rle <br />D ~ Sediment Control Measures P ~ Revegetation Repulremenls <br /> 1 <br />E ~ Dealpn and Carllllcatlon Repulremenls- O ~ Disposal of E%cesa SDOII <br /> <br /> <br />F Setllment Control <br />' <br />~ Effluent Llmlts <br />R ~ Hantlllnp of Acld or To%IC Malerlala ~' <br /> S ~ Hlghwall Eliminetlon <br />G ~ Surface Weler Monltoring <br /> T ® Downslope Spoil Disposal <br />H ~ Ground Water Monltoring ~ ~~ <br /> <br />I <br />O Blaaling Procedures ~' ~ ~' U ~ Pose Mining Lantl Use <br /> <br />J <br />© HaullACCess Rosd Design and Maintenance V ~ Ceseatlon of Operallons: Temporary <br />~ ~.' <br /> <br />K <br />L <br />©Reluse Impoundments <br />h <br />lf <br />O <br />S W ~ Other <br />D L, / +t <br />~ 1A(11 8~1\~ <br />A T~ t ~I111 Dy OIn l.7 ( <br />#`~ D1~C <br /> y <br />~ <br />t <br />er: <br />Pat 11 <br />1 <br />Dlatrlbutlon: Orlplnal -Field Olflce, Green ~ Heatlauarlers, Blue -State's Copy, Yellow ~ Inspector's COPY Pink ~ File Copy IE ~ 169 (1/69) <br />