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~,.r. .,.~.. .t^ wa:.f~~1.•~.w~-?sue ..n.Y~q .i ~..t, _'r .«. _, <br />~: L <br />.' <br /> <br /> <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y Inspected and found in compliance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R =Inspected and Comments noted, <br />V =Inspected and Violations (NOV) or Cessation Order (CO) issued, <br />B =Inspected and both Comments noted & Violations or Cessation <br />Order issued, <br />T = 10 Day Notice Issued by OSM Oversight Personnel, <br />S =Sample taken and sent to the lab from analysis - describe <br />type and location of sample taken under comment section. <br />GENERAL INSPECTION TOPICS: <br />C AVAILABI ITY 0 RECORDS........... [ Y / NA /; ~N,l / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. ~`~ / NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [~/ NA / N / R / V / B / T ! S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /,~ R} / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [~Y.i/ NA / N / R / V / B / T / S ] <br />[C) EXPLOSIVES ........................ [ Y /.N91/ N / R / V / 6 / T / S ] <br />[C] PROCESSING WASTES ................. [LY1/ NA / N / R 1 V / B 1 T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y /~'N~/ N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [{J / NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~ Yi/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... ~'/ NA / <br />[[ N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... _ <br />[:~~/ NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [~/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y /~N~/ N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y /: NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y /~l~ / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y /~NF~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [~~ / NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / <br />N / N / R / V / B / T / S ] <br /> ` <br />(1) -------------------- [20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ........................ [ Y / NA / N / R / V / B / T ] <br />(1) <br />- - - - - - - - - - - - - - - - - - - - <br />~3) - - - - - - - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />f <br />se:.ua:a ' .~IIVL~ xu ~ z~;~. ~-~ ~ w . +% ~ tiLr.w'+~T <br />[20 <br />Spaces <br />Max] <br /> <br />