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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 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 />jC AVAILABILITY OF RECORDS........... [ Y / NA ! N ! R / V / B J T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N / R / V / B / T / S ] <br />[C] ROADS ............................. [ Y / NA / N /~/ V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N /~/ V / B / T / S ] <br />[L] BACKFILL & GRADING ................ [ Y / NA / N /V?/ V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y ! tJA'/ N / R / V / B / T / S ] <br /> <br />[C] <br />PROCESSING WASTES ................. <br />[ Y .. <br />/ Vii/ <br />N <br />/ R / <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S ] <br />[C] SUPPORT FACILITIES ................ [ Y /~~A / N / R / V / B / T / S ] <br />[C] TOPSOIL ........................... [,Y,• % NA / N ! R / U / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [ Y / NA / N //~/ V / B / T / S ] <br />[C] FISH & WILDLIFE ................... [., jl NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ ~ / NA / N / R / V / B / T / S ] <br />[C] AIR RESOURCE PROTECTION........... [ Y /~NA~'/ N / R / V / B / T / S ] <br />[C] SLIDES & DAMAGE ................... [ Y / NA / N J R / V J B / T / S ] <br />[C] SUB SiDEWCE .. .................... [ Y / NA / N /;`Rj/ V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / NA / N / R'/ V / B / T / S ] <br />[C] OFFSITE SUPPORT FACILITIES........ [ Y /~NA~/ N / R / V / B ! T / S ] <br />[C] RECLAMATION SUCCESS ............... ( Y / NA / N /~/ '! / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y ill N / R J V / B / T / S ] <br />~2~ -------------------- [20 <br />____________________ Spaces <br />(3J -------------------- P1ax] <br />[C] OTHERS ............................ [ Y / A~/ N / R / V / B / T ] <br />20 <br />(1) - - - - - - - - - - - - <br />- - - - - - - - <br />(2) -------------------- Spaces <br />(3) ~------------------- Max] <br />NOTE: [C] = Required Entry. <br />.,. <br />