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U.S. DEPT. OF THE INTERIOR <br />OFFICE OF SURFACE MINING <br />Mine Site Evaluation <br />State Program <br />Divisi <br />REci ivvc <br />JAN 0 4 2013 <br />1. Permittee/Person <br />'SAGE CREEK COAL COMPANY, LLC <br />2. Address <br />129515 ROUTT COUNTY ROAD # 27 <br />3. City <br />1OAK CREEK <br />5. Zip Code <br />180467 1 <br />8. Mine Name <br />6. Phone Number <br />( <br />7. Operator Name, if Different than Permittee <br />1 SAGE CREEK HOLDINGS, LLC <br />4. State <br />1co1 <br />'SAGE CREEK MINE <br />9. Permit Number <br />1C-087-09 <br />11. Field Visit Date 12. Purpose 13. SRA Present <br />110/3/2012 <br />mm -dd -yyyy <br />17. OSM Office # <br />1140 <br />1 <br />lop <br />�!� i'0. Permit Type <br />1PP 1 <br />1 <br />14. Permit Status 15. Site Status 16. Facili T <br />lA B <br />IAN I <br />I <br />C O <br />18. COD # 19. Land Code <br />IS <br />20. M.S.H.A. ID # 21. State Abbrev. 22. Coun Burrough <br />ROUTT <br />23. AVS Permittee Entity ID Number 24. State Office <br />1251786 <br />25. Hours <br />1 3.0 1 <br />1 6.0 1 <br />1 7.0 1 <br />1 6.0 1 <br />a. Permit Review <br />b. Site Visit Time <br />c. Travel Time <br />d. Report Writing <br />Purpose Type Codes - Item 12 <br />Oxx...Oversight <br />Axx...Assistance <br />Joint Inspection - Item 13 A Joint inspection is when a state inspector <br />Permit Status - Item 14 <br />A Active: Coal mining activities occurring or permitted but not yet <br />disturbed. <br />IN Inactive (Permanent Program Permit): Phase II completed or <br />Temporary Cessation of Operations. (Interim Program Permit): <br />Coal mining completed and reclamation activities initiated. <br />BR Bond Release: Reclamation completed and State Regulatory <br />Authority(RA) has released all of the bond (Phase III Release). <br />Site Status - Item 15 <br />ND No Disturbance: No coal mining and reclamation <br />operations have been started. <br />EX Coal Exploration: Coal exploration operations have <br />started and where coal mining operations have not <br />begun. <br />AP Active Coal Producing: Coal surface mining <br />activities are occurring. <br />AN Active Non - Producing: Active non - producing facility <br />such as tipple or preparation plant. <br />NM No Mining: The Permit Status is active, site is not in <br />Temporary Cessation, no surface coal mining <br />activity, and site not regraded. <br />26. ig . ture Block <br />Christy Hulsman, ID #532 <br />MC <br />TC <br />P1 <br />P2 <br />P3 <br />Date: <br />Printed Name: <br />RFx..Reclamation Fees <br />Fxx ..Federal Actions <br />112/13/2012 <br />Permit Type - Item 10 IP = Intenm Program PP = Permanent Program NP = No Permit <br />Mining Complete: No mining activity on site, site <br />regraded and awaiting bond release. <br />Temporary Cessation: The RA has granted <br />cessation of mining pursuant to 30 CFR <br />816/817:13(b). <br />Phase I Release: At least Phase I bond release <br />granted for entire permitted area. For interim <br />permits, partial bond release. <br />Phase 11 Release: At least Phase II bond release <br />for the entire permitted area. <br />Phase III Release: Reclamation completed and <br />the RA has released all bond. <br />eview' <br />Review Date: <br />Signature: <br />fficial: <br />la /14/10, 1 <br />mm - dd - yyyy <br />Is Supplemental MSE Page Used Y/N <br />CCR..Citizen Complaint Referral (non -site visit <br />CC Citizen Complaint (initial site visit) <br />CCF Assistance <br />accompanies an OSM inspector at any time during the review of the mine site <br />AB Abandoned: All surface and underground coal mining activities have ceased and operator <br />has left the site without completing reclamation as defined in 30 CFR 840:11(g). <br />AB1 Bond Forfeiture: Bond forfeiture officially in process or completed and reclamation in <br />progress or not yet commenced. <br />AB2 Partially Reclaimed Forfeiture: Forfeited site where all bonds have been used to reclaim site, <br />but site not reclaimed to Program standards. <br />AB3 Reclaimed Forfeiture: Forfeited site that has been reclaimed to Program standards. <br />NA Not Applicable: When site is unpermitted. <br />NS Non -Site Visit: Status of site not determined. <br />Forfeiture Pending: The RA is pursuing actions to <br />FP revoke the permit, collect the performance bond(s), <br />and /or reclamation of forfeited site is in progress. <br />FR Forfeited and Reclaimed: Forfeiture reclamation <br />completed. <br />FO Abandoned Site: Abandoned site that is permitted but <br />there is no bond. <br />WC Wildcat: Coal mining and reclamation operations have <br />or are taking place and the activity is not covered by <br />the required permits from the RA. <br />Facility Type Codes - Item 16 G....Ancillary (Haulroad, Conveyor, and /or Rails H...Exploration Permits K....Govemment Financed Construction Exemption <br />A....Surface E....Refuse and /or Impoundment I....Notice of Intent to Explore L....Remining site permitted under 30 CFR 785.25 <br />B....Underground F....Loading Facility and /or Tipple J...,Exempt 16 and 2/3 <br />C....Preparation Plant G....Stockpiles <br />Small Business Regulatory Enforcement Fairness Act (SBREFA) <br />Your Comments are Important <br />The Small Business and Agnculture Regulatory Enforcement Ombudsman and 10 Regional Fairness Boards were established to receive comments from small businesses about Federal agency <br />enforcement actions. The Ombudsman will annually evaluate the enforcement activites and rate each agency's responsiveness to small business. If you are a small business (a business with 500 or <br />fewer employees including those of affiliates) and wish to comment on the enforcement or compliance activities of OSM, call 1- 888 -REG -FAIR (1-888 -734- 3247). <br />Page 1 <br />