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~. <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y =Inspected and found in compliance, <br />NA = Inspection Topic not applicable, <br />N =Not Inspected, <br />R = Inspected and Comments noted, <br />V = Inspected and ~tliolations (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 AVAILABILITY OF RECORDS........... [UY° / NA / N / R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N / Ra/ V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N /~/ V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N / ~j/ V / B / T / S ] <br />[C] BACKFILL & GRADING ................ [ Y / NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / l~ / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / NCB / N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ Y / N~ / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [~ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [Q/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... ~/ NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y /r~ / N / R / V / B / T / S ] <br />[C] SLIDES b DAMAGE ................... [~j/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y / ®/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / ® / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y /[~ / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Q/ NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y / ~ / N / R / V / B / T / S ] <br />(1) -------------------- [20 <br />(2) -------------------- SpaMax <br />(3} - - - - - - - - - - - - - - - - - - - ] <br />[C] OTHERS ............................ [ Y / !~ / N / R / V / B / T ] <br />20 <br />(1) --------------------- <br />------- Spaces <br />(2) ----------•--- Max] <br />(3) --------------------- <br />NOTE: [C] = Required Entry. <br />