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U. S. DEPT. OF THE INTERIOR <br />OFFICE OF SURFACE MINING <br />Mine Site Evaluation State Program <br />Permittee/ Permit Field Visit g <br />Person WESTERN FUELS - COLORADO Number C- 008 -81 Date 01(19/2011 Continuation Page <br />29. Off -Site Implact Data and Identified Violation Data. <br />List all Ten -Day Notice actions and all Federal NOV or CO actions taken or reviewed during this current OSM site visit. List the <br />off -site impacts associated with either State or Federal actions taken durinc this site visit. <br />13 A. Specific State Law/Regulations Violated: <br />425.5(2) <br />B. Description The landowner has fertilized annually in the past. PR -06 allows the operator to <br />fertilize only years 3. 5 and 7. (413) <br />—7 C. Performance Standard AN D. Abated (Y/N) N <br />E. OSM Action 2❑ F. OSM Action Number X11 - 140 -182 -002 Viol.# 13 <br />G. Optional F H. Any Off -site Impacts Y/N N❑ <br />I. Latitude 038° 16'07" J. Longitude 080 33' 19" K. Elevation <br />14 A. Specific State Law /Regulations Violated: <br />B. Description <br />C. Performance Standard <br />E. OSM Action ❑ F. OSM Action Number <br />G. Optional <br />1. Latitude J. Longitude <br />15 A. Specific State Law/Regulations Violated: <br />B. Description <br />C. Performance Standard <br />E. OSM Action ❑ F. OSM Action Number <br />G. Optional <br />1. Latitude J. Longitude <br />16 A. Specific State Law/Regulations Violated: <br />B. Description <br />C. Performance Standard <br />E. OSM Action ❑ F. OSM Action Number <br />G. Optional <br />I. Latitude J. Longitude <br />D. Abated (Y/N) ❑ <br />Viol.# ❑ <br />H. Any Off -site Impacts Y/N ❑ <br />K. Elevation <br />D. Abated (Y/N) ❑ <br />Viol.# ❑ <br />H. Any Off -site Impacts Y/N ❑ <br />_1K. Elevation <br />D. Abated (Y/N) ❑ <br />Viol.# ❑ <br />H. Any Off -site Impacts Y/N ❑ <br />K. Elevation <br />L. Off -Site Impacts <br />People Land Water Structures <br />Blasting ❑ ❑ ❑ ❑ <br />Stability ❑ <br />❑ <br />❑ <br />❑ <br />Hydrology ❑ <br />❑ <br />❑ <br />❑ <br />Encroachment ❑ <br />❑ <br />❑ <br />❑ <br />Other ❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />L. Off -Site Impacts <br />❑ <br />People Land Water Structures <br />Blasting ❑ ❑ ❑ ❑ <br />Stability ❑ <br />❑ <br />❑ <br />❑ <br />Hydrology ❑ <br />❑ <br />❑ <br />❑ <br />Encroachment ❑ <br />❑ <br />❑ <br />❑ <br />Other <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />L. Off -Site Impacts <br />People Land Water Structures <br />Blasting ❑ ❑ ❑ ❑ <br />Stability ❑ <br />❑ <br />❑ <br />❑ <br />Hydrology ❑ <br />❑ <br />❑ <br />❑ <br />Encroachment ❑ <br />❑ <br />❑ <br />❑ <br />Other <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />L. Off -Site Impacts <br />. People Land Water Structures <br />Blasting ❑ <br />❑ <br />❑ <br />Stability ❑ <br />❑ <br />0 <br />0 <br />Hydrology ❑ <br />0 <br />❑ <br />❑ <br />Encroachment ❑ <br />❑ <br />❑ <br />❑ <br />Other <br />❑ <br />❑ <br />❑ <br />❑ <br />OSM Action Off -Site Impacts <br />I) Deferred to State Action 6) ID -CO Issued (imminent Danger to Public) For each type of impact and resource affected, enter <br />2) TDN Issued 7) Previously Cited by RA, Abatement Pending "N, D, or J" to describe the degree of off -site impact: <br />3) NOV Issued 8) Abated during or before OSM Inspection N - Minor Occurrence <br />4) FTA -CO Issued 9) Follow -up of Federal Action Page _(�' of—(a <br />5) IH -CO Issued (Imminent Environmental Ham,) 0) Off -Site Impact with no violation D - Moderate Occurrence <br />T - NAair n—....,.. Revised October 1.2010 <br />