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t'~~lY Ti, t.. .i. . ~. .. 'r~: •YV.F 9~.V °.'15 .. ~y~j' 4~"^1.{/+4 .. ~•~ ..... ynv - .., r.. <br />uT <br /> {- L <br /> <br /> <br /> For The Following Entries, Circ.le: .'~he. Approrpiate C ho ice: <br /> = nspec e;,k:a~n -- oun ~in*vCO>n~T iance, <br /> NA = Inspection Topic n ot app lica ble, <br /> N =Not Inspected, <br /> R =Inspected and Comm ents n oted , <br /> V =Inspected and Viol ations (NO V) or Cess ation O rder (CO) issued, i~ <br /> B = Inspected and both Comme nts noted & Vi ol atio n s o r Ces<sation <br /> Order issued, <br /> T = 10 Day Notice Issu ed by OSM Oversight Person n el, !_ <br /> S =Sample taken and s ent to the lab from anal ys i s - describe <br /> type and location of sample taken unde r comme nt s ection. <br /> <br />GENERAL INSPECTION TOPICS: ~i <br />`~~ <br />C AVAILABILITY OF R CORDS........... [ Y / NA / N / R / V / B / T / S ] <br />c; <br /> <br />[C] <br />SIGNS AND MARKERS ................. <br />[ Y / <br />NA <br />/ N /~ / <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S ] ;. <br />i j- <br />[C] ROADS ............................. [ Y / NA / N <br />/ V / B / T / S ] ~<!, <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA ~ <br />/ N / R / V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / N /~/ V / B / T / S ] 'i.. <br />.~ <br />[C] EXPLOSIVES ........................ [ Y / NA / N / R / V / B / T / S ] ` <br />- <br />[C] PROCESSING WASTES ................. [ Y / NA /~ / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [~/ NA / N / R / V / B / T / S ] <br /> <br />[C] <br />TOPSOIL ........................... <br />[ Y / <br />NA <br />/~/ R / <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S ] _ <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~/ NA / N / R / V / B / T / 5 ] 1__ <br /> <br />[C] <br />FISH & WILDLIFE ................... v <br />[ Y / <br />NA <br />/ N /~ / <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S ] ;_ <br />i' <br />[C] REVEGETATION ...................... [ Y / NA / N /~/ V / B / T / S ] _ <br />[C] AIR RESOURCE PROTECTION........... [ Y / N <br />1A / N / R / V / B / T / S ] ~i; <br />[C] SLIDES & DAMAGE ................... [~Y / ~ <br />NA / N / R / V / B / T / S ] <br /> <br />[C] <br />SUBSIDENCE ........................ <br />[ Y / <br />NA <br />/~/ R / <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S ] i <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA /~/ R / V / B / T / S ] i,, <br />[C] OFFSITE SUPPORT FACILITIES........ [(;Y~/ NA / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N /~R / V / B / T / S ] ,'; <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / NA /~N / R / V / B / T / S ] _ <br /> (1) <br />----------- <br />-- <br />- <br />--- <br />- <br />- [20 -. <br /> <br />2 <br />( ) - Spaces <br /> _ _ _ _ _ _ _ _ _ _ _ <br />(3) ----------- _ _ <br />-- _ <br />- _ _ _ <br />--- _ <br />- _ <br />- _ <br />- <br />Max] <br />~. <br />[C] OTHERS ............................ [ Y / NA / N / R / V / B / T ] <br /> <br />(1) <br />----- <br />- <br />- <br />[20 I <br />; <br /> (2) <br />- <br />-- -- - ---- - - - Spaces <br /> (3) ---------- -- - ---- - - - Max] 1 <br />NOTE: [C] = Required Entry. <br /> <br />_ -. <br />_ <br />r _ <br /> <br />~ ~* ti <br />- <br /> <br />