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-- - .~a,,.. ti,1,~A <br />,... _ <br />- ~, ' ~ 111 IIIIIIIIIIIIIIII I., •f a n.a.. <br />' •------- -=---- _ _ ^_-_ F~ECEIVE_ 999 <br />-- <br /> ~dAR 7 19 0 <br />United States Department of the Int erior MINED LAN For Offic e Use Oniy <br />_ Office of Surface Mining ~G~r^s gMATION D <br />Mine Site Evaluation Inspection Re btt~ Yf'_=1 <br />~ 'b „ <br /> <br />. <br />LJ~L_L_J m m <br />- _ ` _ T Y M M 9.tcn Report <br />' 10. Data of Inspection <br />2. Name of Permlttl» - - ~ - 9 MSHA Number r Y <br /> <br />/ <br />' <br />o <br />) <br />- <br />J ~ <br />3. Street Atltlresa 11. State Permit Numbe <br /> <br />' <br />{ <br />.' <br />Y I r <br />r I I <br />~ I <br />I ~1'j <br />I~r. <br />d. Cily~ <br />~ S. State =~ t2. Name of Mine ~ ~ ' <br /> _ <br />•~~ <br />~ ~~ ~~~~Ir ~• io / ~ I I _i . <br />. <br />6. Zip Coda 7. Area Code 8. Telephone Number ~ <br />~ ~ y ~1~n3.,TIC~-o'-u~I~Jnt-y~II Cotle 16. Stale Cooe t5~37rata <br />~ t6. State Araa OHice <br />' 1~1J <br />~K-J . <br />17. OSM Field 19. OSM Area 19. OSM ,. _ . _ ~ 20. Type of Inspection 21. Joint Inspection 22 Inspector's ID ' <br />Ir~Offil~cje IINO. ~ Office No. Semple No. ~ (Code) Yes No yINLO~,.IIy'1~~II ' <br />23. Statue ~ _ _ - ' - '- 26. Type of Achvily (c4eck applicable Do.es). <br />A m , _ _ _.._. . ~ .~ TYPe of Permit -- _ _. __ <br />C )T _ -~ .. _ _ _ __ .. <br />~ A ~feeP Slope _ -_.. ._ _ <br />E ~ An Mracite <br />B ~ Mina Status (Code) _ <br />~-r~ _ _ <br />~ ~ <br />B . ~ Mourdam 7oP Removal <br />p '~~ Federal Lands <br />^ <br />l <br />C Lr I,~ I <br />TyDa o1 Facility (Cotle) .' <br />[~~' C ~ Prime Farmlanos .-~ <br />G ~~ Indian Lands <br />D ~ ~ • Number of Permitted Arres <br />~ D ^ Alluvial Valley Floors <br />H ~ Older <br />E ~ Number of D15IUrDed Acres <br />25. Performance Stantlards fCodesl <br />In•trutllon.: Intlicete compliance Cotle. Far any 5tantlertl marked 2 or 3 provitle narrative to support this oeterminati~n. <br />Slantl•rds Thet Limll the Effects to the Parmll Area Stentlartls Tnat Assu•e Reclamatior, Quality antl Timeliness <br />A ~ Distance Frohibition8 - M 'Topsoil Handl~np <br />B ~ Mining Within Permit Bountlarles N ~ Back!ill~r~q anq Grading <br />C ~ Signs and Markers O rI -I Following Reclan,al+or~ Scl~etl~ile <br />D <br />a Sediment Control Measures ~ P n Reveyelatmn Requnemenls <br />44 <br />~I <br />ttt-- <br />E /' I Design antl Certillcation Requirements- <br />w ~-- <br />Disposal of Excess Spoil <br />O <br />Sediment Control <br />r <br />F ~ Ellluant Limits ~ I-l <br />R I l l Hantlllnp of Acltl or Toxic Materials <br />LLiF'~~ <br />_ <br />G ~ Surtace Water Monitoring F ^ Hlgnwall Elimination <br />"' <br /> T ~ Downslope Spoil Disposal <br />H ~ Ground Water Monitoring <br /> <br />I Q .Blasting Procedures <br />1 <br />~ U ~ Post Mining Land Use <br />S~ <br />t ''""'- ~ <br />:~- <br />J I, I HauIIACCess Roatl Design and Maintenance V ~ Cessation of Operations: Temporary <br />4J W ^ Other _ <br />~ <br />K <br />~ Reluse ImDOUndmanls Le J ~ S np'~ <br />` <br />, <br />L ~ Otner: Specify ~~ ~c ' _~ J Tic ~ <br />DislrlbutlOn Original - Fieltl OItICe, Green ~ Headquarters, Blue -State's Copy. Yellow ~ Inspector's COUY~ Pin4. ~ File Copy IE ~ 163 (1193) <br />