1983-11-29_INSPECTION - C1981017

• Permit No: C1981017
• IBM Index Class Name: INSPECTION
• Doc Date: 11/29/1983
• Doc Name: Mine Site Evaluation Inspection Report
• Media Type: D
• Archive: No

Page 2 of 2 Pages
United States Department of the Interior
Office of Surface Mining
Mine Site Evaluation Inspection Report
26. State Permit Number 27. Date of Inspection
(YYMMDD)
28. Yes No Do mining and reclamation activities on the site comply with the plans in the permit?
I] ❑ If no, provide narrative to support this determination.
29. Indicate number of complete and partial inspections conducted by the State to date for this annual review period:
29a. ❑ Number of Completes 29b. ❑ Number of Partials
30. Indicate number of complete and partial inspections required by the State during this annual review period:
30a. ❑ Number of Completes 30b. ❑ Number of Partials
31. Has inspection frequency been met?
Yes No Yes No
31a. ❑ ❑ Completes 31b. ❑ ❑ Partials
32. FEDERAL ENFORCEMENT INFORMATION. [Enter violation number. Check appropriate box(es)]
Ten-Day Notice No. Notice of Violation No. Cessation Order No. Violation Codes
A❑ ❑ ❑ Authorizations to Operate
B❑ ❑ ..................... ❑ Signs and Markers
C❑ ..................:.. ❑ ..................... ❑ ........................ Backfilling and Grading.
D❑ ❑ ..................... ❑ ........................ Highwall Elimination
E❑ ❑ ..................... ❑ ........................ Rills and Gullies
F❑ ..................... ❑ ..................... ❑ ........................ Improper Fills
C'� .................. ❑ ..................... ❑ ........................ Topsoil Handling .
H❑ ❑ ..................... ❑ ........................ Sediment Ponds
I ❑ ❑ ❑ Effluent Limits
...................... ..................... ........................
J ❑ ❑ ❑ Water Monitoring
..................... ......................
K❑ ❑ ..................... ❑ ........................ Buffer Zones
L❑ ❑ ..................... ❑ ........................ Roads
M❑ ..................... ❑ ..................... ❑ ........................ Dams
N❑ ..................... ❑ ..................... ❑ ........................ Blasting
O 1-11-1Revegetation
..................... .....................
P❑ ❑ El Spoil on the Downslope
..... ................ ..................... ......................
Q ❑ ❑ Mining Without Permit
R❑ ❑ Exceeding Permit Limits
..................... .....................
S❑ ❑ Distance Prohibitions
T❑ ❑ ❑ Toxic Materials
..................... .....................
U❑ ❑ ❑ Other Violations
33. Name of Authorized Representative(print or type) 34. Administrative Information
Signature of Authorized Representative - Date
a • Permit Review(Hours)
- r
b A` • Travel Time(Hours)
Signature of Reviewing Official Date c $ • Inspection Time(Hours)
d Report Writing Time(Hours)
Distribution:Original-Field Office,Green-Headquarters, Blue-State's Copy,Yellow-Inspector's Copy, Pink-File Copy (E-163(1 la3)