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i i a Y r ~n .a pp , •f <br /> <br />1 <br />For The Followin Entries, Circle The A <br />ror fate <br />C <br />ho <br />ic <br />e: <br />' = nspecte an oun l~ comp lance, <br /> NA = Inspection Topic n oppplicabl e, <br /> N =Not Inspected, <br /> R =Inspected and Comments noted, <br /> V = Inspected and Viol ations {NOV) o r Cessat ion Orde r (CO) issued, <br /> B =Inspected and both Comments no te d & Viol ations o r Cessation <br /> Order issued, <br /> T = 10 Day Notice Issu ed by OSM Ov er sight Personnel, <br /> S =Sample taken and s ent to the l ab from anal ysis - describe <br /> type and location of sample ta ke n under commen t s ection. <br />GENERAL INSPECTION TOPICS: <br />C AVAILABILITY OF RECORDS........... [ Y / NA / N R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N R V / B / T / S ] <br />[C] ROADS ............................. [~/ 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 / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y ~/ N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [~/ NA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ YY <br />/ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... ~ <br />~f-YJ/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... / NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N /®/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / N / N ~ V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y /~/ N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y N / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y N / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N ~/ V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y NA / N / R / V / B / T / S ] <br />(1) [20 <br />( ) - - - - - - - - - - - - - - - - - - - - p <br />2 S aces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />(1) <br />- - - - - - - - - - - - - - - - - - - - <br />~3~ -------------------- <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />[20 <br />Spaces <br />Max] <br /> <br />