_INSPECTION - C1981017 ‎(15)‎

• Permit No: C1981017
• IBM Index Class Name: INSPECTION
• Doc Name: Inspection Reports/ Documents for year 1991
• Inspection Date: 12/18/1991
• Media Type: D
• Archive: No

Page 2 of 2 Pages
United States_Department of the Interior
Office of Surface Mining
Mine'-Site Evaluation Inspection Report
2&State Permit Number 27. Date of Inspection
(YYMMDD
- I d . 18 .
2& Yee No Do mining and reclamation activities on the site comply with the plans in the permit?
0 01 ff no,provide narrative to support this determination.
29.Indicate number of complete and partial Inspections conducted by the State to date for this annual review period:
29a. m Number of Completes 29b. m Number of Partials
30.Indicate number of complete and partial Inspections required by the State during this annual review period:
311a Number of Completes 30b. m Number of Partials s:
31.Has Inspection frequency been met?
Yes Nb Yes No "
31a ❑ ❑ Completes 31b. ❑ ❑ Partials
32.FEDERAL ENFORCEMENT INFORMATION. [Enter violation number. Check appropriate box(es)]
Ten-Day Notice No. Notice of Violation No. Cessation Order No. Violation Codes
❑ i F..�....3 ..�..�.c ❑ .................... ❑ .....................`... Authorizations to Operate _
B❑ ............... ❑ ..................... ❑ Signs and Markers
.,....
C❑ ......
❑ ❑ Backfilling and Grading
D❑ ❑ ❑ Highwall Elimination
E❑ ❑ ❑ Rills and Gullies
F❑ ....-•............... ❑ ..................... ❑ Improper Fills
G❑ .................. ❑ ..................... ❑ Topsoil Handling
H❑ ..................... ❑ .......... ❑ ........................ Sediment Ponds
c
❑ ..................... ❑ ..................... ❑ Effluent Limits
J ❑ --•.................. ❑ ..................... ❑ ........................ Water Monitoring
K❑ ............ .........
❑ ..................... ❑ ........................ Buffer Zones
L ..................... ❑ ..................... ❑ Roads
M❑ ..................... ❑ ..................... ❑ ........................ Dams
N❑ ------•.............. ❑ ❑ Blasting
O❑ ------•.............. ❑ ❑ ..... _ Revegetation
P❑ ..................... ❑ ..................... ❑ ........................ Spoil on the Downslope
❑ ..................... ❑ ❑ ........................ Mining Without Permit
R❑ ..................... ❑ ..................... ❑ Exceeding Permit Limits
S❑ ..................... ❑ ..................... ❑ ........................ Distance Prohibitions
T❑ ..................... ❑ ..................... ❑ ........................ Toxic Materials
U[Z] .............•....... ❑ ..................... ❑ ........................ Other Violations
33.Name of Authorised Representative(print or type)
Signature of AuUarbod Representative Date
r
Signature of Reviewing Official Date .,
Distribution:Original-Field Office,Green-Headquarters, Blue-State's Copy,Yellow-Inspector's Copy, Pink-File Copy IE- 163(1183)