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For The Foll~.,i~ig Entries, Circle The Appropriata Choice: = nspe.: a an oun in Comp lance, NA InspNction Topic not aDDlicable, N _ Nit Inspected, R = Inspected and Comments noted, Y inspected and Violations (~OVI or Cessation Order (CO1 issues, B = Inspected and both Comments noted b Violations or Cessation Order issued, 7 10 Day Notice Issues by OSM Oversight Personnel, S =Sample taken and sent to the lab from analysis - describe type and location of sample taken under comment section. GENERAL INSPECT]ON TOPICS: CORDS........... L Y /~ R / V / B / T / $ ] LCJ SIGNS AND MARKERS ................. L Y / NA N / R / V / B / T / S J LCJ ROADS ............................. L Y / NA / N / R / V / B / T / $ J LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / R / V / B / T / S 1 LCJ BACKFILL 8 GRADING ................ L Y / NA / N / R V / B / T / S ] lCJ EXPLOSIVES ........................ L Y /~/ N / R / V / B / T / S J LCJ PROCESSING NASTES ................. L Y / A/ N / R / Y / B / T / S J lCJ SUPPORT FACILITIES ................ L Y / NA /~/ R / V / B / T / S ] LC] TOPSOIL ........................... L Y / NA / / R / V / B / T / S J LCJ GENERAL MINE PLAN COMPLIANCE...... L Y / NA / N / ~ / V / B / T / $ J LCJ FISH b MILDLIFE ................... L Y / NA /~ / R / V / B / T / S ) LCJ REYEGETATION ...................... L Y / NA / N / R / V / B / T / S LCJ AIR RESOURCE PROTECTION........... L Y /~/ N / Y / B / 7 / S J LCJ SLIDES 8 DAMAGE ................... L Y / NA / N ~ R / Y / B / 7 / S LCJ SUBSIDENCE ........................ L Y /~/ N / R / V / B / T / S J LCJ E%CESS SPOIL b DEVELOPMENT MASTE.. l Y /~/ N / R / Y / B / 7 / S ] LCJ OFFSITE SUPPORT FACILITIES........ L Y /~/ N / R / Y / B / T / S J ~ LC] RECLAMATION SUCCESS ............... L Y / NA / N / V / B / T / S ] LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA N / R / Y / B / T / S ] I 1 ) L 20 (Z1 - - - - - - - - - SDaces (3) --------------------- Max] - - - - - - - - - - - - - - - - - - - - LCJ OTHERS ............................ L Y / NA / N / R / Y / B / T ] ll) L20 (2) -------------------- SDaces (3) -------------------- MaxJ NOTE: LCJ ~ Required Entry.