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,~; ; ~d+~r , ~ : f <br />+' ~;`f.. For The Fol`low.in Entries,'Circle The A rorpiate Choice: <br />r- = nspecte a eQmp;.rance, <br />.;, ,,~. . <br />NA = Insp~cit~i'gh 1'opic• app"{cable, <br />N =Not ~ n"spiscted, ~.~" ~,~,~,~.,, <br />R =Inspected and Comments noted~?:~y; ; <br />V =Inspected and Violations (NO„m ;Cessation Order (CO) issued, <br />B =Inspected and both Comments ri '"_-& Violations or Cessation <br />Order issued, ' :~"~ <br />T = 10 Day Notice Issued by OSM Ov t Personnel, <br />S =Sample taken and sent to the Ta om analysis - describe <br />type and location of sample taken under comment section. <br />4' <br />a <br />s <br />~~ <br />GENERAL INSPECTION TOPICS: <br />[C) AVAILABILITY OF RECORDS........... [ Y / NA /~ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA t~ ( R / V / 8 / T / S ] <br />[C} ROAOS ............................. [~ NA / N / R / V / B / T / S ] <br />[C] :HYDROLOGIC BALANCE ................ [~/ NA / N / R '(, V / B / T / S ] <br /> <br />[C] <br />BACKFILL & GRADING ................ <br />[ Y / <br />NA <br />/~/'42' >, <br />'/< , <br />?I <br />/ <br />B <br />/ <br />T <br />/ <br />S <br />] <br />[C] EXPLOSIVES ........................ [ Y / NA }~~{{ / V / B / T / S <br />[C] PROCESSING WASTES ................. [ Y / NA It./. V. / $ / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / NA / -f{,~ V / 8 / T / S ] <br /> <br />[C] <br />TOPSOIL ........................... <br />[ <br />Y <br />/ <br />NA <br />N <,.. . <br />R~~/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S <br />J <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA ~ I3~.51- V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA N , <br />R;!/ V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA {T.:^/ <br />,, U / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y / NA N R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA' / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ { Y / NA R / V / 8 / 7 / S ] <br />[C) EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA ,(10'y R / V / B / 7 / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA ~~`; <br />[j, R / V / 8 / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA , R / V / B / T / S ) <br />[C] SPECIAL CATEGORIES Of MINING...... [ Y / NA R / V / 8 / T / S ] <br />(1) [20 <br />(2) ....._.._,..-------- .~-.~.._..._--- Spaces <br />(3) ._._w..._------_...~...._.---..._---- Max) <br />[C] OTHERS ............................ [ Y / NA ./ N / R / V / 8 / T ] <br />(1) [20 <br />(2) ------_...-_..._..,_..._._._..._...------_ Spaces <br />(3) -,.------- --------- Max] <br />NOTE: [C] = Required Entry. <br />' is <br />.,;- <br />r.`.`M <br />1T <br />