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<br /> <br />I Far The Following_Entri_es, Circle The App rorp iate Choice: <br /> = nspec a 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 Or de r (CO) issued, <br /> B =Inspected and both Comments noted & Viol ations o r Cessation <br /> Order issued, <br /> T = 10 Day Notice Issu ed by OSM Ove rsi ght Pe rsonne l, <br /> S =Sample taken and sent to the la b f rom an al ysis - describe <br /> type and location of sample tak en under commen t section. <br />GENERAL INSPECTION TOPICS: <br />C AVAILABIL TY 0 RECORDS........... [(~/ NA / N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [(1~'/ NA / N / R / V / B / T / S ] <br />i [C] ROADS ............................. [ Y / NA / N /~/ V / B / T / S ] <br />[l;] HYDROLOGIC BALANCE ................ [ Y / NA / N /(((?1/ V / B / T / S ] <br />[~] BACKFILL & GRADING ................ [ Y / lA ! N 1 R / V / B 1 T / S } <br />[C] EXPLOSIVES ........................ [ ~/ NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / JA / N / R / V / B / T / S ] <br />I [C] SUPPORT FACILITIES ................ [ Y J ~ j N / R / V / B I T I S] <br />[C] TOPSOIL ........................... [ 6~/ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ ~/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ ~/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / -tA1/ N / R / V / B / T / S ] <br />i [C] AIR RESOURCE PROTECTION........... [CYO / NA / N / R / V / E / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / ~J~ / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ (~ / NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / tom/ N / R / V ! B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ~ / 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 / NAB / 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 />- - - - - - - - - - - - - - - - - - - Max] <br />(3) -------------------- Spaces <br />NOTE: [C] = Required Entry. <br />