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1V <br /> Page 1 of 2 Pages <br /> United States Department of the Interior 91 For Office Use Only <br /> Office of Surface Mining - SAP" 2 5 1g 1a 1b <br /> Mine Site Evaluation Inspection Report d Lan io� Elm <br /> Mine <br /> Reclamation Di <br /> f Y Y. M M Batch Report <br /> 10. Date of Inspection <br /> 2. Name of Per mittee- 9. MSHA Number (Y Y M M D D) <br /> UGD >J i / 'r n3T E e S C TC1— <br /> mac� (^ G tt {� 1 { ►r <br /> 3.Street Address 11. State Permit Number <br /> 4.City 5.State.:- = 12. Name of MineTEE[ <br /> Y Mil <br /> 1, 11 tl e I-,,)I,,- I-, 1,—14 11 11 <br /> 6.Zip Code 7.Area Code 8.Telephone Number 13.County Code 14. State Code! 15.Strata 16.State Area Office <br /> IL _J <br /> 17.OSM Field 18.OSM Area 19.OSM 20.Type.of Inspection 21.Joint Inspection 22 Inspector's ID <br /> Office No. Office No.- Sample No. - (Code) Yes No - No. <br /> 23.Status 24.Type of Activity(check applicable Coxes). <br /> A Type of Permit s �: <br /> C A Steep Slope E Anthracite <br /> B E]DMine Status(Code) <br /> LL�—tt..44.-�✓ B: Mountain Top Removal F Federal Lands <br /> C Type of Facility(Code) <br /> C El'Prime Farmlands G (� Indian Lands <br /> D • r, Number of Permitted Acres LJ <br /> . , D � Alluvial Valley Floors H � Other <br /> E Ir Ic f = 1 •16'1 Number of Disturbed Acres <br /> 25. Performance Standards(Codesl <br /> Instructions:Indicate compliance code. For any standard marked 2 or 3 provide narrative to support this determination. <br /> Standards That Limit the Effects to the Permit Area Standards That Assure Reclar%ation Quality and Timeliness <br /> A Distance Prohibitions M. Topsoil Handling <br /> B Mining Within Permit Boundaries s N Backfilling and Grading <br /> C Signs and Markers O' _Following Reclamation Schedule <br /> D Sediment Control Measures P Revegetation Requirements <br /> E Design and Certification Requirements— O Disposal of Excess Spoil <br /> Sediment Control <br /> R F] Handling of Acid or Toxic Materials <br /> F Effluent Limits <br /> $ � Highwall Elimination <br /> G Surface Water Monitoring <br /> T � Downslope Spoil Disposal <br /> H F-1 Ground Water Monitoring <br /> U � Post Mining Land Use <br /> I Blasting Procedures <br /> V F-1 Cessation of Operations.Temporary <br /> J ® Haul/Access Road Design and Maintenance <br /> W R Other � <br /> K Refuse Impoundments <br /> L © Other: Specify 13"L - Cr;, I u <br /> Distribution:Original-Field Office,Green-Headquarters, Blue-State's Copy, Yellow- Inspector's Copy. Pink- File Copy IE- 163(1/83) <br />