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i'~~ ~ ~ <br /> <br /> For The Following. Entries, Circle The A_pprorpiate Choice: <br /> = nspecte an ou~ ~5n compl iance, <br />'~ NA = Inspectidn Topic n ot app licable, <br />I' N =Not Inspected, <br />f R =Inspected and Comm ents noted, <br /> V =Inspected and Viol ations (NOVj or Cessat ion Order (CO) issued, <br /> B =Inspected and both Comments noted & Viol a tions or Cessation <br /> Order issued, <br /> T = 10 Day Notice Issu ed by OSM Oversig ht Pe rsonnel, <br /> S =Sample taken and s ent to the lab from an alysis - describe <br /> type and location of sample taken under comm ent section. <br />GENERAL INSPECTION TOPICS: <br />C AVAILABILITY 0 RECORDS........... [ Y / NA /~/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [~/ NA / N / R / V / B / T / S ] <br />~ <br />i <br />[C] ROADS ............................. [~/ NA / N / R / V / B / T / S ] <br />t <br />[C] HYDROLOGIC BALANCE ................ [© / NA / N / R ! V / B / T J S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA ~ / R / V / B / T / S ] <br />I~ [C] EXPLOSIVES ........................ [ Y / NA /~/ R / V / B / T / S ] <br />I [CJ PROCESSING WASTES ................. [ Y / NA /®/ R / V / B / T / S ] <br />[CJ SUPPORT FACILITIES ................ [ Sf / NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA /~ / R / V / B / T / S ] , <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA /~ / R / V / B / T / S ] , <br />f <br />[C] FISH & WILDLIFE ................... [ Y / NA ~/ R / V I B / T I S ] <br />I [C] REVEGETATION ...................... [ Y / NA ~/ R / V / B / T / S ] <br />I [C] AIR RESOURCE PROTECTION........... [ Y ! NA (©/ R / V / B / T J S ] <br />[CJ SLIDES & DAMAGE ................... [ Y / NA /~ / R / V / B / T / S ] <br />[CJ SUBSIDENCE ........................ [ Y / NA /(f~ / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA /~/ R / V / B / T / S ] <br />! [C] OFFSITE SUPPORT FACILITIES........ [ Y / NA /~~/ R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA /vN / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y ~ / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) ____________________ Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br />~l) ---------- - [20 <br />- Spaces <br />(2) ------------------- Max] <br />(3) - - - - - - - - - - - - - - - - - - - - <br />NOTE: [C] = Required Entry. <br />~~ <br /> <br />~..., ~, <br />r r <br />d^ .. ..~..ih..l, - ~-`~'. .., .; _.w. .4. .. ~._ ~- ,_.tl~}id~'- - ~ :... L_...e;d~.nr.~a~a~.wa,..f:-:: -,t.r...::.o-.:;.it..~~.+ra~'sa ..u. ~:ds ,ia <br />