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<br />r :4 <br />~~ <br />~~~~~ V ~® <br />III IIIIIIIIIIIII III <br />9g9 <br />Pape t of 2 Papea <br /> tdAR 0219 T <br />United States Department of the I nterior MINED I.A D For Office Use Only <br />Office of Surface Mining <br />Mine Site Evaluation Inspection Re~l„AMATION <br />IVI$t~„ <br />II <br />II <br />II <br />II <br />'~ '~ <br /> Y M <br />Y <br />M Batch Raton <br /> 10. Data of Inspection <br />2. Name of Permlilee 9. MSHA Number (Y Y M M D D) <br /> 8 L e R ( a Q fl ~ o a o o - 0 3 0 ~ - S 7 o ~ /o <br /> 3. Street Address 11. Stale Permit Number <br /> P o g o 1 3 0 4 - <br />4. Ciry 5. State 12. Name of Mine <br />P 1.is e mo Q e Rl sb o <br />8. Zlp Code 7. Area Cotle B. Telephone Number <br />i a~ ~ y cy- 9! 13. County Code ta. Stale Code 15mStrata <br />oa9 0 W 16. State Area Of/ice <br />17. OSM Fleltl t8. OSM Area tg. OSM 20 Type of Inspection 21. Joint Inspection 22. Inspector's ID <br />Ofllce No. Office No. Sample No. <br />~ ~ a y (C~tle)r~re~s No <br />L LJ_Ll.J lJ ~ No. <br />a <br />23. Status 2a. Type of Activity (check applicable ooxesl. <br />A ~ Type of Permit ^_ <br />A IIDY II Sleep Slope <br />E ~ Anthracite <br />B ® Mine Status (Cotle) <br />B ~ Mourilain Top Removal _ <br />F ~ Federal Lands <br />C ~ Type of Facility (Code) <br />C ~ Prime Farmlantls <br />G ~ Indian Lantls <br />D o 3 y i • O Number of Permitted Acres <br />D ~ Alluvial Valley Floors <br />H ~ Other <br />E Opp a 0 • ~ Number of Disturbed Acres <br />25. Performance Standards fCodesl <br />InNrunlon•: Indicate compliance code. For any standard marketl 2 or 3 provide narrative to support this tleterminatlnn. <br />Stantlertls That Llmlt the Ellecls to the Permit Area Slantlartls Thal Assure Reclamation Duality and Timeliness <br />A ~ Distance ProhlDltlons M ~ Topsoil Handling <br />B ~ Mining Wlthln Permit Boundaries N ~ Back!illinq and Grading u <br />C ~ Signs antl Markers O ~ Following Reclamation Schedule <br />D ~ Sediment Control Measures P ~ Revegetalion Requirements <br />E m Design and Certillcatlon Repulremenls- O ~ Disposal of Excess Spoil <br />Setllment Control <br /> <br />F ~ Effluent Llmlts <br />R ~ Handling of Acitl or Toxic Materials <br /> <br />G ~ Surtace Water Monitoring 5 ~ Highwall Elimination <br /> T ~ Downslope Spoil Disposal <br />H ~ Ground Water Monllorinp <br />U ~ Post Mining Land Use <br />I ^3 Blasting Procetlures <br />V ~ Cessation of Operations: Temporary <br />J © Haul/Access Road Design and Maintenance <br />W ~ Other <br />K © Refuse Impoundments <br />L ~ Other: Specily <br />k <br />Diatrlbutian: Original -Field Ollice, Green ~ Headquarters. Blue ~ Slate's Copy. Yellow ~ Inspector's Copy. Pink ~ File Copy IE ~ 163 (1If33) <br />