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<br /> • • <br /> Fo_r T_h_e Following_Entries, Circle The App ro rp ia te Cho ic e: <br /> = nspecte an oun in compliance, <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 Cessat ion Order (CO) issued, <br /> B = Inspected and both Comments not ed & Vi ol ations or Cessation <br /> Order issued, <br />' T = 10 Day Notice Issu ed by OSM Ove rsi g ht Pe rsonnel, <br /> S =Sample taken and s ent to the la b f rom an alysis - describe <br />f <br />~ type and location of sample tak en under com ment section. <br />GENERAL INSPECTION TOPICS: <br />~ C AVAI A IL TY OF RECORDS........... ®/ NA / N / R / V / B / T / S ] <br />i [C] SIGNS AND MARKERS ................. ~ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. {~/ NA / N / R / V / B / T / S ] <br />1 <br />[C] <br />HYDROLOGIC BALANCE ................ <br />[®/ NA / N <br />/ <br />R <br />/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S <br />] <br />~ [C] BACKFILL & GRADING ................ [ Y / tVA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y /~/ N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA N / R / V / B / T / S ] <br />'I [C] SUPPORT FACILITIES ................ [ Y ~/ N / R / V / B / T / S ] <br />!. [C] TOPSOIL ....................... ~~/ NA / N / R / V / B / T / S ] <br />~ [C] GENERAL MINE PLAN COMPLIANCE...... ~/ NA / N / R / V / B / T / S ] <br />~I [C] FISH & WILDLIFE ................... [ Y NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y /~A / N / R / V / B / T / S ] <br />S, [C] AIR RESOURCE PROTECTION........... ~~~ NA / N / R / V / B / T / S ] <br />~ [C] SLIDES & DAMAGE ................... [~"`YJ/ NA / N / R / V / B / T / S J <br />[C] SUBSIDENCE ........................ [ Y~ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y A / N / R / V / B / T / S ] <br />[C] OFF SITE SUPPORT FACILITIES........ [ Y A / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y ~/ N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y ~N~A N / R / V / B / T / S ] <br />~ (1) -------------------- [20 <br />(2) ----------- Spaces <br />- - - - - - - - <br />(3) -------------------- Max] <br />i <br />~ [C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />I <br />(1) -------------------- 20 <br />i (2) ____________________ Spaces <br />(3) -------------------- Max] <br />' NOTE: [C] = Required Entry. <br /> <br />-r.: <br />