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<br /> <br /> <br />III IIIIIIIIIIIII III <br />sss.~. i pr ~ ra<I•s <br /> FEB 131 86 <br />United States Department of the <br />Office of Surface Minin Interior <br />- <br />! <br />„~- Offic <br />~}~E:T~~~1 e Use Only <br />g <br />Mine Site Evaluation Inspection ~~~ <br />,y;.~ I~ <br />51 <br />Rec~~t~°~bN; pi fl8f: <br />ai N ,b ,p <br />m m <br /> Y Y M M Batch Rspon <br />' 10. Da[e of In SDecllgn <br />2. Name of Permittee 9. MSHA Number (Y Y M M D D( <br /> $ L u ~. f2 t 1s (3 u ~J C,o ~ L c ~o - ~ ? o ti ~ - ~ 86 otay <br /> 3. Street Adtlress tt. State Permrt Number <br /> P ~ e ~ x $ ~- r~ ti - ~ l I <br />d. City 5. State t2 Name of Mrne <br /> I ~ ~ <br /> <br />O <br />t <br />y <br />~ <br />~- <br />~ <br />~G. <br />L <br />JIeI It2i11616 <br />oi•~I <br />Ij"}1 ~ <br />e ~ <br />~ <br />6. Zlp Code 7. Area Cotle 8. Telephone Number 17. County Code td. Slate Code 16. Strata t6 Slate Area Office <br />~3 :_G~~ <br />lyi6 ~ 5 ~ ~ of <br />_ <br />17. OSM Field 18. OSM Area tq. OSM 20 Type of lnsDe^_tion 2t. Joint Inspection 22 Inspector's ID <br />Office No. Olflce No. Sample No. <br />~ ~ ICodel Yres Nno <br />~ No <br />. <br />`~ ~ L~ <br />LZJ~LJ t <br />o~ J O <br />23. Status 26. Type of Activity (c5eck aDPlrcabre coxes). <br />A m Type of Permrt <br />A ~ Steep Slope <br />E ~ Anthracna <br />B ® Mine Status (Cotle) <br />B ~ Mou ntam fop Removal <br />F ~ Federal Lands <br />C 1 ,7 Type of Facility (Cotle) <br />C ~ Prime Farmlands <br />G ^ Indran Lantls <br />D Li o Lf ~ • U Number of Permitted Acres <br />D ^ Alluvial Valley Floors <br />h <br />O <br /> er <br />H ~ <br />t <br />E _~ ~ p ~ ,~ • ~ Number of Disturbed Acres <br />25. Perbrmance Standards ICodesl <br />In•truetlon•: Indicate compliance cotle For any standard marked 2 or 1 prpvitle narrative to support this derprm inatinn. <br />Standards Thal Limit the Effects to the Permit Area Standartls That Assure Reclamalior, O,,.a lily and Timeliness <br />A ~ Distance Prohibitions M ~ Topsoil Handling <br />B ~/ Mining Within Permit Boundaries N ~ Backfillinq and Grading <br />C ~ Signs and Markers O J Fpllgwing RerJama4on Schedule <br />D ~ Sediment Control Measures P ~ Revegetation Requirements <br />E ~ Design and Certification Requirements- O ~/ Disposal of Excess Spoil <br />Sediment Control <br />R ~ Handling of Acrd or Toxic Materials <br />F ^/ Effluent Llmlis <br />S ~ Highwall Elimination <br />G ~ Surface Water Monitorlnq <br />7 ^/ Downslope Spoil DlsDOSaI <br />H ~ Ground Water Monltorinp <br /> U ~ Post Mining Land Use <br />I a Blasting Procedures <br />V ~ Ceseatlon of Operations. Temporary <br />J ~ Haul/ACCeaa Road Design and Maintenance <br /> W ^ Other <br />K ~ Refuse Impoundments <br />L ~ Othec Specify ~ ~' <br />Dlatrlbullon: Original -Field Office, Green <br />i <br />Headquartery,~Blue ~ State's Copy, Yellow <br />r`i / <br />~/ ~ ~ '. <br />In Speclor's Cqpy. Pink ~ File Cqpy IE - 163 (1/BJ) <br />