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<br />For The Following Entries, Circle The Approrpiate Choice: <br /> Y = Inspected and found in compliance, <br /> NA = Inspectidn~Topic not applicable, <br /> N =Not Inspectei],; <br /> R = Inspected and>C;omments noted, <br />~ <br /> V = Inspected and <br />iolations (NOV) o r Cess at io n Or de r (CO) issued, <br /> B =Inspected and bath Comments note d & Vi ol ations o r Cessation <br /> Order issued, <br /> T = 10 Day Notice Issued by OSM Over si ght Personnel, <br /> S =Sample taken and sent to the lab f rom analysis - describe <br /> type and location of Sample take n under com men t s ection. <br />GENERAL INSPECTION TOPICS: <br />C AVAILABILITY OF RECORDS.......... . Y /~ / N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ 0 / NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [~ / NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /®/ V / B / T / S ] <br /> <br />[C] ,: <br />BACKFILL & GRADING............` .. [ Y ( NA / N <br />/® / <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S ] <br />[C] EXPLOSIVES ........................ [ Y / NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / N® / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................~..C Y/ NA i N j R/ U j 8 / T / S] <br />[C] TOPSOIL ........................... [ Y / N® / N / R / V / B / T / S ] <br />[CJ GENERAL MINE PLAN COMPLIANCE...... [ Y / N~/ N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / J~A / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N /~/ V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [~ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / ~ N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / N / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / N / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / ®/ N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / N / 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) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ............................ [ Y / Nf'/ N / R / V / B / T ] <br />~2~ -------------------- [Spaces <br />(3) -------------------- Max] <br />- - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />