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..~ <br />%'~ <br />1 <br />Pape T of Z Pepef ~~ <br /> Unit _ States Depar3ir~r1? of the Interior~l ~, ~ , <br />~"*_--r. Office pf Stt~~r,~~ce Mining - <br />l <br />~ <br /> Mine Siti<e valu <br />atidr <br />Inspection Report <br /> ~.\ ) <br />2& State Permit Number <br />~~ 27. Date of Inspection <br />V M M D D <br />- <br />Y <br /> ~ <br />y- ( <br />. <br />) <br />1- <br />A ' <br />28. Yea No Do mining and reclamation activities on the site comply with the plans in the permlt7 <br />^ p It no, rovltle nar rative to su ort this determinallon. <br />29. Indicate number of complete and partlal Inspections conducted by the State to dale for this annual revlew period: <br />29a m Number of Completes 29b. m Number of Partlals <br />30. Indicate number of complete and partlal Inspections required by the State during this annual revlew period: <br />30a ~ Number of Completes ~ ~ ~ 30b. m Number of Partlals <br />31. HasYnspeclbn Iregrfency been met? r/~ _ ~p/rJ~ Res ~N <br />E S"~v3pECTSe~I..) <br /> o <br />31a ^ ^ Ctxnpbtes ~ 31 b. ^ ^ Partlals <br />32 FEDFAAL ENFORCEMENT INFORMATION . IEnter violation number. Check appropriate box(es)] <br />Tern•Day Notice No. Notice of Violation No. Cessation Order No. Violation Codes <br />A ~ ^ ^ Authorizations to Operate <br />B ^ .. .................. ^ ...... ............... ^ ........................ Slyna and Markara <br />C ^ .................. <br />... ^ ...... ,.,..........., ^ Becklllllnp and 6redlnp <br />........................ <br />. <br />D ^ ..................... : `.. <br />^ ............... ^ ..............~........... Hlphwall Eliminellon <br /> r <br />E^ ..................... ^ ^ RlllaandGulllee <br />F ^ ^ ^ ........................ Improper Fllle <br />G ^ ^ Topsoil Handling <br />^ <br />........\. y.......... <br />H ^ ..................... ...... <br />^ ...... ........................ <br />............... <br />............... ^ ........................ Sediment Ponds <br />........... _....... <br />I ^ .. ...... <br />^ ............... ^ ........................ ~Flfluent Llmlte <br />. <br />~ ^ ..................... . <br />^ ...... ............... ^ ........................ Water Monltorin9 <br />K ^ <br />..................... ^ <br />...... ^ ........................ Buffer 2onas <br />............... <br />L ^ ..................... ^ ...... ............... ^ ........................ Roads <br />Y ^ <br />...................... ^ ...... ............... ^ ........................ Dams <br />. 9 <br />O ^ ^ ^ ..~~..~........... ~ ~ .~..~..: Revepetatlon <br />p ^ ^ ^ SDoll on the Downalope <br />O ^ ..................... ^ ^ Mining Without Permit <br />R ^ ..................... ^ ...... ......... Exceeding Permit Limits' <br />............... ^ <br />......... <br />................... <br />S ^ ~ ^ ~~ <br />...... : <br />._.:__ <br />` ~-^ .,,,,...,..,...,..~'~., Distance Prohibitions <br />............... <br />.. <br />T ^ ^ ^ Toxic Materials <br />~ ^ ..................... <br />...... <br />^ ^ ........................ Other Violations <br />............... <br />33. Name of Ad Repreeentatlve (print or type) 3<. Adminlatratlve Information <br /> H <br />Sipnwturo <br />~ ut fzed Repre <br />J ntatlve Date ~ <br />_ _ . a • Permit Review ( <br />ours) <br />b Travel Time (Hours) <br />Signaluro of Revierinp 1 ial _~_ <br />~~ Date . c Ir~n fib®I • .Inspection Time (Hours) <br />RePOrt Writing Tlme~(Flours) <br />.-.d' <br /> `r+y(_'_'tt' <br /> <br /> <br />