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k <br />I <br /> <br /> <br />For!T.he Following:~s~ Girole TMe~ prorpiate Choice: <br />- nspecte I~.9~i9~58"5i~ "~'or"Ri pTie, <br />NA = Inspecti0n-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 AVAILABIL TY OF RECORDS........... [ Y / NA /©/ 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 ................ [ ©/ NA / N / R / V / B / T / S ] <br />[Cj BACKFILL & GRADING ................ [ Y / ~/ N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [(~/ NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y /® / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ O/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL. .. ......................... [ Q' NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [Q/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [[~! NA J N/ R J V/ B/ T J S] <br />[C] REVEGETATION ...................... [~/ NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ O/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / A / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / A / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / A / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y J A / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / A / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / A / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2)-------------------- Spaces <br />(3) __________ ______ Max] <br />-//~ <br />[C] OTHERS.... [ Y / NA ,/ N / R / V / B / T ] <br />~- <br />~l) -------------------- <br />~3) - - - - - - - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />[20 <br />Spaces <br />Max]' <br />.7 <br /> <br />