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<br />• <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspected and found in compliance, <br />NA = Inspection Topic not applicable, <br />IJ =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 ofdsample taken under comment section. <br />GENERAL INSPECTION TOPICS: <br />C AVAILABILITY OF RECORDS........... [ Y / NA / N /(R~ / U / B J T J S ] <br />[C] SIGNS AND MARKERS ..:.............. [~/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N /~ / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N / / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / N ~ <br />/ / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y J NA j N / RO / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / VA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y~/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y J NA / N / J V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA /• N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA / IJ / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ YO/ NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / JA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [~/ NA / N j R / V / 8 / T / S ] <br />(C] SU5SIDENCE ........................ [ Y / N" / N / R / V / B / T / S <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / N /~ / V / B / T / S ] <br /> <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ ~ NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NH /~/ n / V / B / T / S ] <br />~2~ -------------------- [20paces <br />(3) -------------------- P1ax] <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />~2~ -------------------- [Spaces <br />(3) -------------------- t-tax] <br />NOTE: [C] = Required Entry. <br />~:. <br /> <br />