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1 .~ <br /> <br /> <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 Violations (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 AVAILABIL TY OF R CORDS........... [ Y / NA //IVY/ R / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [Ct'~ NA / N / R / V / B / T / 5 ] <br />[C] ROADS ............................. ll/ NA / N / R / V / 6 / T / S ] <br />[C] HYDROLOGIC BALANCE ................ ~ <br />~/ NA / N / R / V / B / T / S ] <br /> <br />[C] <br />6ACKFILL & GRADING ................ `/ <br />[~Y~' NA / N / R <br />/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S <br />] <br /> <br />[C] <br />EXPLOSIVES ........................ `_ <br />[ `( / NA /~V1/ R <br />/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S <br />] <br />[C] PROCESSING WASTES ................. [ `( /~j/ N / R / V / B / T / S ] <br />[C] SUPPORT FACILITIES ................ [ '( / NA /CN~ R / V / B / T / S ] <br />[C] TOPSOIL ........................... [CJ NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [L~y NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [ '( / NA /~l~/ R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ji,/ NA / N / R <br />. / V / B / T / S ] <br /> <br />[C] <br />AIR RESOURCE PROTECTION........... ,_ <br />[ 'f / NA /~/ R <br />/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S <br />] <br />[C] SLIDES & DAMAGE ................... [ 'V / NA 4iN"':/ R <br />i / V / B / T / S ] <br />[C] SUBSIDENCE ........................ ~ <br />[ Y /~/ N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [LP~/ NA / N / R / V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y / NA /~I/v y R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... ~/ NA / N / R / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /~A7 N / R / V / B / T / S ] <br />(1) --------------------- [20 <br />(2) __________ ________ Spaces <br />(3) --------------------- Max] <br />[C] OTHERS ............................ [ Y /~/ N / R / V / B / T ] <br />20 <br />~l) ---~--------- <br />- - - - - - - - <br />_ _____ _______-- Spaces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />