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.~,.. <br />I III ,x r <br />^ <br />•'~ i ads' V... 'Mr <br />r ~ L ~h <br />~ <br />~Q For Office Use Only ,.P?` <br />s Department of the Interior ~~^/' <br />vfw <br />: <br />e of Surface Minin <br />g 1e 1 <br />. <br />valuation Inspection Report MAR yn' ~S~ <br />O C <br />m m <br />:: MINED (~ Y Y r M e.ton Report <br />P 1 ~ _ _ <br />C) <br />~ ~ <br />~"!Y~ t a apt o <br />~~r~l R <br />~ ,o. Data or Inapectlon <br />2. Name of Permlttee <br />, I, <br />/ <br />_ g. MSHA Num <br />e <br />esour (Y Y M M D D) <br /> d ~ e - - <br /> 3. Street Address 11. State Permit Number <br /> 7 ., ~ <br />I-a <br /> 4. City <br />5 <br />. <br />S <br />t <br />al <br />e 12. Name of Mlne <br /> m <br /> (~f - <br />r~ ~ <br />~~ <br />'l <br />8. Zip Code 7. Area Code 8. Telephone Number <br />' 13. County Cotle 14. State Cotle 15. Strata ,L~76. ImvS'te~Its Area Offlca <br />i <br />17. OSM Field 18. OSM Aree 19. OSM ~ 20. Type of Inspection ~ 21. Joint Inspection 22. Inspector's ID <br />Ofllca No. Office No. Sample No. (Cotle) ~W~Y^esll No <br />/ f ~ ~ ~ 'IJ No. <br />23. Status 24. Type of Activity (check applicable boxes). <br />A m Type of Psrmlt <br />A ~ SteeD Slope <br />E ~ Anthracite <br />B ~ Mine Status (Cotle) <br />B ~ Mountain Top Removal <br />F ~ Federal Lends <br />C ~ Type of Faelllty (Code) <br />C ~ Prime Fermtands <br />G ~ Indian Lends <br />D O ~ ~ • _i Number of Permittetl Acres <br />D ~ Alluvial Vatley Floors <br />H ~ Other <br />E ~ ~ • Number of Disturbed Acres <br />25. Performance Standards (Codes) <br />fn•truefbne Intllcate eompllance code. For any standard marked 2 or 3 provide narratWe to support this determinstlon. <br />StendaMe That Llmlt the Ellects to the Psrmlt Arsa ~ '~'~~ ~~ 'Standards Thst Aeeure Reclamation Ouellry and' Tlmellness' - ~ ~ • <br />A ~ Distance Prohlbitlone M ©Topsoll Handling <br />B ® Mlning Wlthln Penult Bounderles N © Back1111ing and Gradlnp <br />O © Following Reclamation Schedule <br />C ~ Signs and Msrkers / <br />~L~ <br />D ~ Sediment Control Measures;, bf ''~ _ _~- d _ P ®Revegetatlbn Rsqulremeota <br />olHcatlon Requlrementa- (, ~~. O ,® Disposal of Fxceas Spoil <br />E ~ <br />Sediment Contr <br />R e, Handling of Acid or Toxle Materiels <br />F ~ Effluent Llmlte <br />S ~ Hlghwall Ellminatlon <br />G ~ Surtace Weler Monltoring <br />T ~ Downslope Spoil Dlaposal <br />H ,~ Ground Water Monltoring <br />U ~ Post Mlning Land Uae <br />I ~ <br />I ~ Blasting ProcedurB9 Nv ~^c i M,~ •~o (^ a5 <br />V ~ Ceasetlon of ODeratlona: Temporary <br />J _~ HauVACCess Roed Design and Maintenance <br />W ~ Other <br />K ,~ Reluee Impoundments iJr::,~ 1: rt nl cJn_, I. rc,{ <br />L ~ Other Specify ~-- (~i =/~~r• <br />, <br />I `. ~'r vTs. 1'1 d/L <br />~ <br />_ <br />v <br />DlstrlDutlon: Original - Fleltl Ollice, Green -Headquarters, Blue -Slate's Copy, Yellow -Inspector's Copy, Pink - Flle Copy IE - 183 (7183) <br />.~ <br />:Y" <br />icy` <br />R• r <br />