INSPEC17339

• Permit No: C1981011
• IBM Index Class Name: Inspection
• Doc Date: 7/23/1984
• Doc Name: OSM MINE SITE EVALUATION INSPECTION REPORT
• Inspection Date: 6/22/1984
• Media Type: D
• Archive: No

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United States Department of the Interior For Office Use Only
Office of Surface Mining

Mine Site Evaluation Inspection Report ,a
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~ 10. Date of Inepecflon
2. Name
of Permlilea 9. MSHA Number (Y Y M M D D)
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3. Street Adtlrase 11. State Permit Number
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4. City
5. State 12.
N
eme of Mlns

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BJZIp Code 7. Area Code 8. Telephone Number 13. County Code 10. State Cotla 15. Strata 18. State Area Ofllcs

17. OSM Field 18. OSM Area 19. OSM Z0. Type of InsDectlon 21. Joint Inspection 22. Inapector's ID
Of® o. O~fNCe No. Sem Ip a No. (Code Yes No
~ IILrVJ'1ly- No~
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23. Sfatua 24. Type of Activity (check applicable boxes).
A ~~ Type of Permit
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A ~ Steep Slope
E ~ Anthracite
B ~ Mine Status (Code)
B ~ Mpuntaln iop Removal
F ~Fatleral Landa
C ~ Type of Facility (Code)
C ~ Prime Farmlands
G ~ Indian Lenda
~~~
D ~J-~--LLy Number of Permitted Acres
D ~ Alluvial Valley Floors
H ~ Other
E ~ • ~• Number of Dlaturbed Acres
25. Performance Stantlards (Codes)
InaWelbnc Intllcate compliance code. For any etantlard marketl 2 or 3 provitle nerrallve t0 support this determinatlon.
Standuds That limit the Elfacte to the Pennil Area Stantlartls That Assure Reclamation Quality and Timeless

A ~ Distance Prohibitions
M ~ Topsoil HantlllnB o Z
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B Mlnlnq Within Permit Boundaries
N ~ Backfllllnp and Gradlnq p
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C Slpns and Markers
O ~ Followlnq Reclamation Schedule ~~ ~ m
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D ~ Sediment Control Measures P ~ Revepetatlon Requirements ~
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E ~ Deslpn end Certiflcatlon Requirements-
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C
l O ~ Disposal of Fxcesa Spoil y a c..7 C
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ment
ontro R ~ Handllnq of Acltl or Toxic Materlala q
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F ~ Effluent Limlte
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G ~ Surtace Water Monltorlnp ~
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H m Grountl Water Monltorlnq T ~ Downslope Spoil Disposal '^
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U ~ Poet Mlnlnp Lantl Use
I ~ Blestlnp Proceduroa
V ~ Cessation of ODeratlons: Temporary
J ~ HeullAccese Roatl Dssipn and Melntenence

K n Rsfuee Impoundments
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~ W ~ Other
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Other. Spael(y
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DlstrlDutlon: Orlpinal - Flsltl Olfice, Green - Heatlquaners, Blue ~ State's Copy, Yellow -Inspector's Copy, Pink - Flle Copy IE - 183 (1183)