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Y ^.T <br /> <br />C I <br />For The Following Entries, Circle The Approrpiate Choice: <br />r = inspecLea ana round 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 />C AVAILABIL TY 0 R CORDS Y NA N ~ V B T S <br /> ........... [ <br />/ / / / / / ] <br />[C] SIGNS AND MARKERS ................. ~~/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N / R / V / B / T / S ] <br /> <br />[L'] HYDROLOGIC BALANCE ................ [ Y / NA / N /~/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [~ NA~ / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y <br />/ NA / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ ~~~ <br />[( Y,N` NA / N / R / V / B / .T / S ] <br />[C] TOPSOIL ........................... [ <br />Yf NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... \ <br />[ Y NA / N /J/ V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y_ NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... Q Y NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y Q NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL R DEVELOPMENT WASTE.. [ Y / NA N /~ V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [~ / NA / N / R V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [~/ NA-J N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y NA N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) ____________________ Spaces <br />(3) -------------------- MaxJ <br />[C] OTHERS ............................ [ Y NA / N / R / V / B / T ] <br />(1) [20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />