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a, <br />R'r' � <br />� OF T <br />0` ©ot i ---0! <br />ipit; 20 <br />ACH 3, <br />U.S. DEPT. OF THE INTERIOR <br />OFFICE OF SURFACE MINING <br />Mine Site Evaluation <br />State Program <br />1. Permittee/Person <br />!WESTERN SLOPE CARBON INC <br />2. Address <br />1315E 200 S PO BOX 1526 <br />3. City <br />(SALT LAKE CITY <br />5. Zip Code <br />184110 I <br />7. Operator Name, if Different than Permittee <br />(WESTERN SLOPE CARBON INC <br />8. Mine Name <br />6. Phone Number <br />1(801) 534 -3556 <br />4. State <br />1 <br />!HAWKS NEST <br />25. Hours <br />1 2.0 1 <br />1.3 I <br />1 8.0 1 <br />1 3.0 1 <br />a. Permit Review <br />b. Site Visit Time <br />c. Travel Time <br />d. Report Writing <br />Christine Belka, ID #182 <br />Date: <br />Purpose Type Codes - Item 12 <br />Oxx...Oversight <br />Axx.. Assistance <br />Site Status - Item 16 <br />ND No Disturbance: No coal mining and reclamation <br />operations have been started. <br />EX Coal Exploration: Coal exploration operations have <br />started and where coal mining operations have not <br />begun. <br />AP Active Coal Producing Coal surface mining <br />activities are occumng. <br />AN Active Non - Producing. Active non - producing facility <br />such as tipple or preparation plant. <br />NM No Mining The Permit Status is active, site is not in <br />Temporary Cessation, no surface coal mining <br />activity, and site not regraded. <br />26. Signature Block <br />Permit Type - Item 10 IP = Interim Program PP = Permanent Program NP = No Permit <br />RFx. Reclam <br />Fxx ..Federal <br />Joint Inspection - Item 13 A Joint inspection is when a state inspector <br />Permit Status - item 14 <br />A Active. Coal mining activities occumng or permitted but not yet <br />disturbed. <br />IN Inactive (Permanent Program Permit): Phase II completed or <br />Temporary Cessation of Operations (Interim Program Permit): <br />Coal mining completed and reclamation activities initiated. <br />BR Bond Release Reclamation completed and State Regulatory <br />Authority(RA) has released all of the bond (Phase III Release). <br />MC <br />TC <br />P1 <br />P2 <br />P3 <br />mm - aa - ,y,y <br />(AB3 1 <br />Signature <br />Printed Name <br />16/21/2012 <br />ation Fees <br />Actions <br />16/4/2012 <br />1140 <br />105 -00293 <br />190227 <br />Mining Complete. No mining activity on site, site <br />regraded and awaiting bond release <br />Temporary Cessation. The RA has granted <br />cessation of mining pursuant to 30 CFR <br />816/817 13(b). <br />Phase I Release At least Phase I bond release <br />granted for entire permitted area For interim <br />permits, partial bond release. <br />Phase II Release At least Phase II bond release <br />for the entire permitted area. <br />Phase III Release. Reclamation completed and <br />the RA has released all bond <br />Facility Type Codes - Item 16 0... Ancillary (Haulroad, Conveyor, and /or Rails H...Exploration Permits <br />A....Surface E. ..Refuse and /or Impoundment I....Notice of Intent to Explore <br />B .Underground F ...Loading Facility and /or Tipple J ..,Exempt 16 and 2/3 <br />C....Preparation Plant G .Stockpiles <br />9. Permit Number 10. Permit Type <br />1C81016 <br />11. Field Visit Date 12. Purpose 13. SRA Present <br />27. <br />! <br />(PP <br />14. Permit Status 15. Site Status 16. Facili T pe <br />(FR 1 B <br />17. OSM Office # 18. CCID # <br />I Y I <br />19. Land Code <br />'SF 1 <br />20. M.S.H.A. ID # 21. State Abbrev. 22. Count /Burrough <br />CO <br />Signature <br />Review Date: <br />accompanies an OSM inspector at any time during the review of the mine site <br />23. AVS Permittee Entity ID Number 24. State Office <br />iewin Offic' 1: <br />I - -2 - -jI <br />mm - dd - yyyy <br />Is Supplemental MSE Page Used Y/N <br />CCR .Citizen Complaint Referral (non -site visit <br />CC. .Citizen Complaint (initial site visit) <br />CCF ..Assistance <br />AB Abandoned All surface and underground coal mining activities have ceased and operator <br />has left the site without completing reclamation as defined in 30 CFR 840:11(g) <br />AB1 Bond Forfeiture: Bond forfeiture officially in process or completed and reclamation in <br />progress or not yet commenced <br />AB2 Partially Reclaimed Forfeiture Forfeited site where all bonds have been used to reclaim site, <br />but site not reclaimed to Program standards. <br />AB3 Reclaimed Forfeiture Forfeited site that has been reclaimed to Program standards. <br />NA Not Applicable: When site is unpermitted. <br />NS Non -Site Visit. Status of site not determined. <br />Forfeiture Pending: The RA is pursuing actions to <br />FP revoke the permit, collect the performance bond(s), <br />and /or reclamation of forfeited site is in progress. <br />FR Forfeited and Reclaimed Forfeiture reclamation <br />completed <br />FO Abandoned Site Abandoned site that is permitted but <br />there is no bond. <br />WC Wildcat: Coal mining and reclamation operations have <br />or are taking place and the activity is not covered by <br />the required permits from the RA. <br />K....Government Financed Construction Exemption <br />L Remining site permitted under 30 CFR 785 25 <br />Small Business Regulatory Enforcement Fairness Act (SBREFA) <br />Your Comments are Important <br />The Small Business and Agnculture Regulatory Enforcement Ombudsman and 10 Regional Fairness Boards were established to receive comments from small businesses about Federal agency <br />enforcement actions The Ombudsman will annually evaluate the enforcement activites and rate each agency's responsiveness to small business If you area small business (a business with 500 or <br />fewer employees including those of affiliates) and wish to comment on the enforcement or compliance activities of OSM, call 1- 888 -REG -FAIR (1-888 -734 -3247) <br />Page 1 <br />