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F .4 i4 <br /> <br />~~, <br />,~ <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA / 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 />(1) <br />(2) - - - - - - - - - - - - - - - - - - - - <br />(3) -----------=-------- <br />NOTE: [C] = Required Entry. <br />r. ,~ ~..~_ .. ,, .. -...~_ .. _.. ~.--. ,. .. ... ~ ~~y. ..~ <br /> <br /> <br /> For The Followin Entries, Circle The Approrp <br />- iate Choice: <br />~,,.: = nspec a an oun in c ompl lance, <br /> NA = Inspection Topic n ot app licable, <br />"~ N =Not Inspected, <br /> R =Inspected and Comments n oted, <br /> V =Inspected and Viol ations (NOV) or Cessation Order (CO) issued, <br /> B =Inspected and both Comme nts noted & Vi ol ations o r Cessation <br /> Order issued, <br /> T = 10 Day Notice Issu ed by OSM Oversig ht Personnel, <br /> S =Sample taken and s ent to the lab from analysis - describe <br /> type and location of sam ple taken under comm en t s ection. <br />GENERAL INSPECTION TOPICS: <br />C AVAILABILITY OF RECORDS........... [ Y / NA / f~/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [Q/ NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [~/ NA / N / R / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA /~/ R / V / B / T / S ] ~ fit. <br />[C] BACKFILL & GRADING ................ [ Y / NA / N /~/ V / B / T ^ <br />/`~] <br />[C] EXPLOSIVES ........................ [ Y / NA / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / ~ / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [~/ NA / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [ Y / NA / N /~/ V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA /Q/ R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ Y / NA /~/ R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA /®/ R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ ©/ NA / N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA /Q/ R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / NA /~/ R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / N /~/ V / B / T / S ] <br />[CJ OFFSITE SUPPORT FACILITIES........ [ Y / NA / <br />~/ R <br />N / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA ! <br />° <br />/`~y~/ R / V / B / T / S 1 <br /> <br />[20 ; <br />Spaces <br />Max] <br />i <br />,~ <br />