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a4 <br />n <br />U <br /> <br /> For The Followin Entries, Circle The Appror piate Choice: <br /> = nspecte an our~ in comp liance, <br /> NA = Inspection Topic riot a pp licable, <br />~ N =Not Inspected, <br /> R =Inspected and Comments noted, <br /> V = Inspected and Violatio ns (NOV) or C essat ion Order (CO) issued, <br /> 6 =Inspected and botFi Comments noted & Viol a tions or Cessation <br /> Order issued, <br /> T = 10 Day Notice Issued b y OSM Overs ig ht Pe rsonnel, <br /> S =Sample taken and sent to the lab fr om an a lysis - describe <br />' type and location of s ample taken u nder comm ent section. <br />GENERAL INSPECTION TOPICS: <br />C AVAILABILITY OF RECORDS........... [ Y / NA /~ / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / ~~/ R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA /ri~/ R / V / B / T / S ] <br />', [C] HYDROLOGIC BALANCE ................ [ Y / NA / N`'J R / V J B / T / S ] <br /> <br />[C] <br />BACKFILL & GRADING ................ [, _ <br />"Y; . <br />'/ <br />NA <br />/ N / <br />R <br />/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S ] <br />[C] EXPLOSIVES ........................ [ Y / NPi / N / R / V ! B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NN / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA /N ~' R / V / B / T / S ] <br /> <br />[C] TOPSOIL ........................... [ Y / NA / N / ~ .~/ V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N / .~ ,y V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA /if3~/ R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA 1 N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / ;NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / ~NA'~ / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / N y R / V / B / 7 / 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 />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA ~ N / R / V / B / T / S ] <br />(l) --------------------- [20 <br />(2) --------------------- Spaces <br />(3) --------------------- Max] <br />[C] OTHERS ............................ [, Y / NA / N / R / V / B / T ] <br />(l) --------------- [20 <br />- - - - - - <br />____---- paces <br />(3) --------------------- Max] <br />NOTE: [C] = Required Entry. <br />