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<br />For The Following Entries, Circle The Approrpiate Choice: <br />r = inspectea and rouna in compliance, <br />NA = Inspection Topic not applicable, <br />N =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 of sample taken under comment section. <br />GENERAL INSPECTION TOPICS: <br />[CJ AVAILABILITY OF RECORDS........... [ Y / NA /;_N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. ['r'T / NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ Y--~ / NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /'R` / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ 'l / NA / N /~R'J V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ '! / r'~'g' / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ `( /!Nlk' / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ `( / NA /.~! `/ R / V / B / T / S ] <br />[C] TOPSOIL ........................... [~Y"~/ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [(~(' / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... ['Y~' J NA J N / R / V / B / T / S ] <br />[C] REUEGETATION ...................... [~~`I' / NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... ['Y / NA / N / R / V / 8 / T / S ] <br /> <br />[C] <br />SLIDES & DAMAGE ................... <br />[ Y <br />/ •- <br />:'f~Ai <br />/ <br />N <br />/ <br />R <br />/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S <br />] <br />[C] SUBSIDENCE ........................ [ 1' / ry1P / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA /CN. / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /i NA' / N / R / V / B / T / S ] <br />(1) [20 <br />- - - - - - - - - - - - - - - - - - - - <br />(2) -------------------- Spaces <br />(3J -------------------- Max] <br />[C] OTHERS ............................ [ Y /ANA'/ N / R / V / B / T ] <br />(1) [20 <br />- - - - - - - - - - - - - - - - - - - - <br />~3~ -------------------- SpaMax] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />