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..,.-w.;....~,T..~~ ~. mss- -V!.-7q, '»irr~s .. ..a~~w <br />• <br />er <br />• <br /> For The Following Entries, Circle <br />- <br />- <br />- <br />- The Approrpiate Choice: <br /> ~-1 <br />nspected <br />and <br />~ou~ in compl iance, <br /> NA = Inspection Topic n ot applicable, <br /> N =Not Inspected, <br /> R =Inspected and Comments noted, ~~ <br /> V = Inspected and Viol ations (NOV) or Cessation Orde r (CO) issued, <br /> B =Inspected and both Comments noted & Vi ol ations o r Cessation <br /> Order issued, <br /> T = 10 Day Notice Issu ed by OSM Oversi gh t Person nel, <br /> S =Sample taken and s ent to the lab from an alysis - describe <br /> type and location of sample taken under comment section. <br />GENERAL INSPECTION TOPICS: <br />C AVAILABILITY OF RECORDS........... [~/ Ni / N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [©/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [~Y / NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /~/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / N /QR / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ ©/ NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. Y <br />/ <br />[ NA /~/ R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ / <br />~ <br />[~/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [~/ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~Y / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N /' R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ ©/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [G / NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA ~t / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ Y / NA / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... ['Y / NA /~N / R / V / B / T / S ] <br /> <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA /~N •/ R / V / B / T / S ] <br />(1) [20 <br />- - - - - - - - - - - - - - - - - - - - <br />~3~ -------------------- SpaMax] <br />- - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y / NA / N~/ R / V / B / T ] <br />(1) - - - - - - - - - - - - - - - - - - - - <br />~3) - - - - - - - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />[20 <br />Spaces <br />Max] <br /> <br />