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OSM 722-1 N 500590 <br /> Revised 4/30/79 <br /> UNITED STATES DEPARTMENT OF THE INTERIOR <br /> OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT <br /> Region V <br /> 1823 Stout Street <br /> Denver, Colorado 80202 <br /> Telephone: (303) 837-5511 <br /> (303) 837-5701 <br /> NOTICE OF VIOLATION NO.N <br /> TV <br /> To the Following Permittee or Operator: <br /> Name f - - <br /> Mine _ Surface Underground ❑ Other <br /> County and State —_ _ Telephone <br /> Mailing Address _ <br /> OSM Mine No. — State Permit No. -__ MSHA I.D. No. <br /> Date of Inspection— , 19 <br /> Time of Inspection: from a.m. to _ a.m. <br /> ❑ p.m. to P.M. <br /> Name of Operator (if other than permittee) _ <br /> Mailing Address <br /> Under the authority of the Surface Mining Control and Reclamation Act of 1977 (P.L. 95-87; 30 U.S.C. 1201), the <br /> undersigned authorized representative of the Secretary of the Interior has conducted an inspection of the above mine on the <br /> above date and has found violation(s) of the Act, the regulations or required permit condition(s) listed in the attach- <br /> ment(s). This Notice constitutes a separate Notice of Violation for each violation listed. <br /> You must abate each of these violations within the designated abatement time. You are responsible for doing all work <br /> in a safe and workmanlike manner. <br /> The undersigned authorized representative finds that cessation of mining is ❑ is not E expressly or in practical effect <br /> required by this Notice. For this purpose "mining" means extracting coal from the earth or a waste pile and transporting <br /> it within or from the minesite. <br /> This Notice shall remain in effect until it expires as provided on the reverse or is modified, terminated, or vacated by <br /> written notice of an authorized representative of the Secretary. The time for abatement may be extended by an authorized <br /> representative for good cause, if a request is made within a reasonable time before the end of the abatement period. <br /> Date of Service <br /> Signature of Authorized Representative <br /> Time of Service ❑ a.m. <br /> P.M. Name and I.D. No. <br /> Person Served with Notice <br /> Print Name and Title <br /> Signature — <br /> IMPORTANT—PLEASE READ REVERSE OF THIS PAGE <br /> Page 1 <br /> sr.4 TE <br /> R <br />