_INSPECTION - C1980002 ‎(5)‎

• Permit No: C1980002
• IBM Index Class Name: INSPECTION
• Doc Name: Inspection Report
• Inspection Date: 9/22/2009
• Email Name: MLT
• Media Type: D
• Archive: No

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*� COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY
COAL INSPECTION REPORT
*1876
MINE NAME: 6j 0 6Qi5EK NO,Z ADDRESS:
OPERATOR: A//4
PERMITTEE:
COUNTY: j570A/A//50A)
TYPE OF OPERATION: SURFACE UNDERGROUND ✓ LOADOUT
OWNERSHIP: FEDERAL NON-FEDERAL
PERMIT STATUS: RV AC=Active,AP=Application in Review, CO=Under Cease Order,
IN=Inactive/Phase II Release, PC=Permanent Cessation, RV=Revoked,
SU=Suspended,TC=Temporary Cessation,OR=Other
[C] MINE ID OR EXPLORATION ID NO. - 0 - O O 2- -
[C] INSPECTION DATE O g l Z / '0 9
[C] INSPECTOR'S INITIALS 7'
[C] TIME OF DAY(MILITARY TIME) Z D
[C] INSPECTION TYPE CODE r� CC=Coal-Complete, CP=Coal-Partial CX=Coal
Exploration,AI=Aerial, IL=Illegal Operation
POST INSPECTION CONTACTS A/ NO=None, BL=USBLM, CE=US Corps of
Engineers,CH=Colo Health Dept,CL=Colo Land
JOINT INSPECT.AGENCY CODE A/ Board, CT=Citizen,CW=Colo Wildlife, DE=U.S.
Energy, DW=US Wildlife, FS=U.S. Forest Service,
HW=Colo Highway Dept,OS=OSM, SE=State
Engineer(Water Resources)
[C:] REASON FOR INSPECTION CODE .� G AG=Other Agency Request, CT=Citizen Complaint,
FU=TDN Follow-up, IE=Normal I&E Program,
MU=Memo of Understanding,OF=OSM Special Focus,
ON=OSM NOV Follow-Up,OS=OSM Oversight,
PR=Pre-operational, S1=Surety Release, SR=Surety
Related
[C:] Inspector did_ did not_✓receive documents during this Inspection. (If any documents were received,
provide a narrative and a list of the documents in Section III of this report.)
COMPANY REPRESENTATIVE PRESENT
/V / j4'
CO. REP. SIGNATURE (FIELD ISSUANCE ONLY)
(Date)
INSPECTOR'S SIGNATURE ��� d/Q�i/G !fe�3Z9
(Date)
[C] WEATHER CODE CL=Cloudy, CR=Clear, FG=Foggy, RN=Raining,
SN=Snowing,WD=Windy
INSPECTION REPORT ISSUANCE DATE — ZGj
NOTE: [C] = Required Entry
WHITE-File YELLOW-Operator PINK-Specialist