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U. S. DEPT. OF THE INTERIOR <br />OFFICE OF SURFACE MINING <br />Mine Site Evaluation <br />Permittee/ Permit Field Visit State Program <br />Person WESTERN FUELS -COLORADO Number C-008-81 Date 02/15/2011 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 during this site visit. 1? <br />1 A. Specific State Law/Regulations Violated: <br />4.25.3(2) <br />B. Description Citizen complaint alleges improper protection of subsoil substitute. <br />C. Performance Standard C2 <br />E. OSM Action 2? F. OSM Action Number <br />G. Optional <br />1. Latitude 0380 16' 07" J. Longitude <br />D. Abated (Y/N) ? <br />r I X11-140-117-001 Viol.# Ol <br />H. Any Off-site Impacts Y/N N? <br />1108° 33' 1911 K. Elevation <br />2 A. Specific State Law/Regulations Violated: <br />4.06.3(2) <br />B.' Description Citizen Complaint alleges improper protection of subsoil substitute. <br />C. Performance Standard C3 D. Abated (Y/N) N <br />E. OSM Action ? F. OSM Action Number X11-140-117-001 Viol.# 02 <br />G. Optional H. Any Off-site Impacts Y/N N? <br />1. Latitude 038° 16'07" J. Longitude 08° 33' 19" K. Elevation <br />3 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 />4 A. Specific State Law/Regulations Violated: <br />B. Description <br />D. Abated (Y/N) ? <br />r <br />I Viol.# ? <br />H. Any Off-site Impacts Y/N ? <br />1 K. Elevation <br />C. Performance Standard <br />E. OSM Action ? F. OSM Action Number <br />G. Optional <br />1. Latitude J. Longitude <br />D. Abated (Y/N) ? <br />r <br />I Viol.# ? <br />H. Any Off-site Impacts Y/N ? <br />1 K. Elevation <br />L. Off-Site Impacts <br />People Land Water Structures <br />Blasting ? ? ? ? <br />Stability ? ? ? ? <br />Hydrology ? ? ? ? <br />Encroachment ? ? ? ? <br />Other ? ? ? ? <br />L. Off-Site Im <br />People Land Water Structures <br />Blasting ? ? ? ? <br />Stability ? ? ? ? <br />Hydrology ? ? ? ? <br />Encroachment ? ? ? ? <br />Other ? ? ? ? <br />L. Off-Site Impacts <br />People Land Water Structures <br />Blasting ? ? ? ? <br />Stability ? ? ? ? <br />Hydrology ? ? ? ? <br />Encroachment ? ? ? ? <br />Other ? ? ? ? <br />L. Off-Site Impacts <br />People Land Water Structures <br />Blasting ? ? ? ? <br />Stability ? ? ? ? <br />Hydrology ? ? ? ? <br />Encroachment ? ? ? ? <br />Other ? ? ? ? <br />OSM Action Off-Site Impacts <br />1) 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 3 of 3 <br />5) IH-CO Issued (Imminent Environmental Harm) 0) Off-Site Impact with no violation D -Moderate Occurrence <br />...,._ ?,.,...?..._,._ Revised October 1. 2010