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1. Person /Permittee <br />9. Permit Number ulll �m Of Re_a 1 10. Permit Type <br />_II <br />C -80 -001 id <br />`~' atki <br />CHEVRON MINING INCORPORATED <br />11. <br />Field Visit Date 12. Purpose 13 <br />SRA Present <br />2. Address <br />06/21/2011 <br />OB4 <br />Y <br />116 INVERNESS DR E SUITE 207 <br />14. <br />min - - yyyy <br />Permit Status 15. <br />Site Status 16. <br />Facility Type <br />3. City 4. State <br />A <br />MC <br />AF <br />ENGLEWOOD <br />CO <br />17 <br />OSM Office # 18. <br />CCID # 19. <br />Land Code <br />5. Zip Code 6. Phone Number <br />140 <br />F <br />80112 <br />(303) 930 - 4013 <br />20 <br />M.S.H.A ID # 21.State Code 22. County Name <br />7. Operator Name (if different than Permittee) <br />CO <br />ROUTT <br />CHEVRON MINING INCORPORATED <br />23. AVS Permittee Enity ID Number 24. State Office <br />8. Mine Name <br />246587 <br />I <br />EDNA <br />25. Hours <br />26. Signat re Block 17---- <br />t� ,( <br />27. Reviewing Official: <br />2.00 <br />a. Permit Review <br />/� o►�►/ <br />Signature <br />Christine Belka ID # 182 <br />i <br />Signature <br />74J"15 J l e <br />4.00 <br />b. Site Visit Time <br />Review Date: <br />Co[o /ci j2011 <br />6.00 <br />c. Travel Time <br />Printed Name <br />min - dd - yyy <br />Is Supplemental MSE Page Used Y ?N <br />j 4.00 <br />I <br />�� <br />Date: <br />06/28/2011 <br />d. Report Writing <br />Permit Type - Item 10 IP = Interim Program PP = Permanent Program , NP = No Permit <br />Purpose Type Codes - Item 12 CCR Citizen Compliant Referral (non site <br />Oxx... Oversight RFx... Reclamation Fees CC" Citizen Complaint (initial site visit) <br />Axx... Assistance Fxx... Federal Actions CCF Citizen Complaiont Follow -up <br />Joint Inspection - Item 13 A joint inspection is when a state inspector accompanies an OSM inspector any time during the review of the mine site. <br />Permit Status - Item 14 AB.... Abandoned: All surface and underground coal mining activities have ceased and <br />operator has left the site without completing reclamation as defined in <br />A.... Active: Coal mining and reclamation activities occurring or 30 CFR 840.11(g) <br />permitted but not yet disturbed. AB1.. Bond Forfeiture: Bond forfeiture officially in process or completed, and <br />IN... Inactive (Permanent Program Permit): Phase II completed or reclamation in progress or not yet commenced. <br />Temporary Cessation of Operations. (Interim Program Permit) AB2.. Partially Reclaimed Forfeiture: Forfeited site where all bonds have been used to <br />Coal mining completed and reclamation activities initiated reclaim site, but site not reclaimed to Program standards. <br />BR.. Bond Release: Reclamation completed and State Regulatory AB3.. Reclaimed Forfeiture: Forfeited site that has been reclaimed to Program standards. <br />Authority (RA) has released all of the bond (Phase III Release.) NA.... Not Applicable: When site is unpermitted. <br />Site Status Codes - Item 15 NS.. Non -Sit Visit: Status of site not determined. <br />ND.. No Disturbance: No coal mining and reclamation MC.. Mining Complete: No mining activity on site, site FP.. Forfeiture Pending: The RA is pursuing <br />operations have been started. regraded and awaiting phase bond release. actions to revoke the permit, collect the <br />EX.. Coal Exploration: Coal exploration operations TC.. Temporary Cessation: The RA has granted performance bond(s); and /or reclama- <br />have started and where coal mining operations cessation of mining pursuant to 30 CFR 816/ tion of forfeited site is in progress. <br />have not begun. 817.131(b). FR.. Forfeited and Reclaimed: Forfeiture <br />AP.. Active Coal Producing: Coal surface mining P1... Phase I Release: At least Phase I bond release reclamation completed. <br />activities are occurring granted for entire permitted area. For interim FO.. Abandoned Site: Abandoned site that is <br />AN.. Active Non- Producing: Active non - producing permits, partial bond release. permitted but there is no bond. <br />facility such as tipple or preparation plant. P2... Phase II Release: At least Phase II bond release WC. Wildcat: Coal mining and reclamation <br />NM.. No Mining: The Permit Status is active, site is for the entire permitted area. operations have or are taking place and the <br />not in Temporary Cessation, no surface coal P3... Phase III Release: Reclamation completed and activity is not covered by the required <br />mining activity, and site not regraded. the RA has released all bond. permits from the RA. <br />Facility Type Codes - Item 16 D... Ancillary (Haulroad, Conveyor, and /or Rails) F1... Exploration Permits L.. Remining site permitted <br />A... Surface E... Refuse and /or Impoundment I... Notice of Intent to Explore under 30CFR785.25 <br />B... Underground F... Loading Facility and /or Tipple J... Exempt 16 and 2/3 <br />C... Preparation Plant G... Stockpiles K.. Government Financed Construction Exemption <br />Small Business Regulatory Enforcement Fairness Act (SBREFA) Your Comments Are Important <br />The Small Business and Agriculture Regulatory Enforcement Ombudsman and 10 Regional Fairness Boards were established to receive comments from <br />small businesses about Federal agency enforcement actions. The Ombudsman will annually evaluate the enforcement activities and rate each agency's <br />responsiveness to small business. If you are a small business (a business with 500 or fewer employees including those of affiliates) <br />and wish to comment on the enforcement or compliance activities of OSM, call 1- 888 -REG -FAIR (1- 888 - 734 - 3247). <br />I Page 1 of <br />_ <br />Revised October 1. 2010 <br />U. S. DEPT. OF THE INTERIOR <br />OFFICE OF SURFACE MINING. �� <br />Mine Site Evaluation <br />State Program J UL 012011 <br />