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aE'IiT oFT <br />� <br />4g ��9! <br />RECEIVED <br />JAN 0 4 2013 <br />vision of Reclamation, <br />Mining & Safety <br />U.S. DEPT. OF THE INTERIOR <br />OFFICE OF SURFACE MINING <br />Mine Site Evaluation <br />State Program <br />1. Permittee/Person <br />(GCC ENERGY, LLC <br />2. Address <br />16473 COUNTY ROAD 120 <br />3. City <br />1HESPERUS <br />5. Zip Code <br />181326 <br />7. Operator Name, if Different <br />8. Mine Name <br />than Permittee <br />( <br />6. Phone Number <br />1(970) 385 -4528 <br />( <br />4. State <br />CO <br />'KING COAL MINE <br />9. Permit Number 10. Permit Type <br />IC- 035 -81 <br />11. Field Visit Date 12. Purpose 13. SRA Present <br />110/2/2012 <br />14. Permit Status 15. Site Status 16. Facili T pe <br />IAP I BEG <br />IA <br />17. OSM Office # 18. CCID # <br />1140 <br />20. M.S.H.A. ID # 21. State Abbrev. 22. Coun /Burrough <br />105 -00299 <br />lop <br />CO <br />I Y I <br />19. Land Code <br />can <br />23. AVS Permittee Entity ID Number 24. State Office <br />25. Hours <br />3.0 1 <br />3.0 1 <br />8.0 1 <br />3.0 1 <br />a. Permit Review <br />b. Site Visit Time <br />c. Travel Time <br />d. Report Writing <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 occurring. <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, end site not regraded. <br />26 S ature Block <br />Date: <br />RFx..Redamation Fees <br />Fxx...Federal Actions <br />ture: <br />Christy Hulsman, ID#532 <br />Printed Name: <br />111/19/2012 <br />Permit Type - Item 10 IP = Interim Program PP = Permanent Program NP = No Permit <br />MC Mining Complete: No mining activity on site, site <br />regraded and awaiting bond release. <br />TC Temporary Cessation: The RA has granted <br />cessation of mining pursuant to 30 CFR <br />816/817:13(b). <br />P1 Phase I Release: At least Phase I bond release <br />granted for entire permitted area. For interim <br />permits. partial bond release. <br />P2 Phase II Release: At least Phase 11 bond release <br />for the entire permitted area. <br />P3 Phase III Release: Reclamation completed and <br />the RA has released all bond. <br />Facility Type Codes - Item 16 D...Anallary (Haulroad, Conveyor. and/or Rails H...Exploratian 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 />27. Reviewin Official: <br />ignature: <br />Review Date: <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 />K....Govemment Financed Construction Exemption <br />L....Remining site permitted under 30 CFR 785.25 <br />rill <br />Joint Inspection - item 13 A pint inspection is when a state inspector accompanies an OSM inspector at any time dunng the review of the mine site <br />Permit Status - Item 14 AB Abandoned: All surface and underground coal mining activities have ceased and operator <br />A Active: Coal mining activities occurring or permitted but not yet has left the site without completing redamation as defined in 30 CFR 840:11(g). <br />disturbed. AB1 Bond Forfeiture: Bond forfeiture officially in process or completed and reclamation in <br />IN Inactive (Permanent Program Permit): Phase 11 completed or progress or not yet commenced. <br />Temporary Cessation of Operations. (Interim Program Permit): AB2 Partially Redaimed Forfeiture: Forfeited site where all bonds have been used to reclaim site, <br />Coal mining completed and reclamation activities initiated. but site not reclaimed to Program standards. <br />BR Bond Release: Reclamation completed and State Regulatory AB3 Reclaimed Forfeiture: Forfeited site that has been redaimed to Program standards. <br />Authority(RA) has released all of the bond (Phase III Release). NA Not Applicable: When site is unper fitted. <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 />Small Business Regulatory Enforcement Fairness Act (SBREFA) <br />Your Comments are Important <br />The Small Business and Agdniture Regulatory Enforcement Ombudsman and 10 Regional Faimess Boards were established to receive comments from amas businesses about Federal agency <br />enforcement actions. The Ombudsman wit annually evaluate the enforcement actwites and rate each agency's responsiveness to small business. If you are a small business (a business with 500 or <br />fewer employees including those of a Thates) and wish to comment on the enforcement or comptance activities of OSM, call 1.888-REG -FAIR (148a -734 -3247) <br />Page 1 <br />