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<br />For The Following Entries, Circle The Approrpiate Choice: <br />~te~fou~~in c~iance, <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 />C AVAILABIL TY OF RECORDS........... [ Y / NA /('~/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ ~' NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. NA / N / R <br />[ <br />® <br />/ / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ ~/ <br />~ <br />' <br />Lotri NA / N /~jR / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y~/ NA / N /®/ V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / ® / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NA /~/ R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA /~/ R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ i~/ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ m / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ ©/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N ,~/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [t~/ NA / N / R / V / 6 / T / S ] <br />[C] SLIDES ~ DAMAGE ................... [ Y /~ / N / R / V / 8 / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / ® / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y /~ / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA /~/ R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA /®/ R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ® / N / R / V / B / T / S ] <br />~2~ -------------------- [2Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y,/'~/ N / R / V / B / T ] <br />(1) -------------------- [20 <br />~3~ -------------------- SpaMax] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />t!~2 . <br />