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. 1 <br />For The Following Entries, Circle The Approrpiate Choice: <br />Y = Inspecte~and~oun in c-dance, <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 AVAILABILITY OF RECORDS........... [ Y / NA / N /!~ / V / B / T / S ] <br />[C] SIGNS AND MARKERS ................. [ Y / NA / N /;g /Q / B~, / T / S ] <br />[C] ROADS ............................. [ Y / NA / N / R' / V / B / T / S ] <br />[C] HYDROLOGIC BALANCE ................ [ Y / NA / N / R / V / B / Cj/ S ] <br />[C] BACKFILL & GRADING ................ [~..Y;/ NA / N / R / V / B / T / S ] <br />[C] EXPLOSIVES ........................ [ Y / : N{4 / N / R / V / B / T / S ] <br />[C] PROCESSING WASTES ................. [ Y / ~~ / N / R / V / B / T / S J <br />[C] SUPPORT FACILITIES ................ [ Y / :'NAl / N / R / V / B / T / S ] <br />[C ]_ TOPSOIL ........................... [U / NA / N / R / V / B / T / S ] <br />[C] GENERAL MINE PLAN COMPLIANCE...... [~~/ NA / N / R / V / B / T / S ] <br />[C] FISH & WILDLIFE ................... ['U/ NA / N / R / V / B / T / S ] <br />[C] REVEGETATION ...................... [ Y / NA / N /CR~ / V / B / T / S ] <br /> <br />[C] <br />AIR RESOURCE PROTECTION........... _. <br />[.;~/ <br />NA <br />/ <br />N <br />/ R <br />/ <br />V <br />/ <br />B <br />/ <br />T <br />/ <br />S <br />] <br />[C] SLIDES & DAMAGE ................... [_Y7/ NA / N / R / V / B / T / S ] <br />[C] SUBSIDENCE ........................ [ Y~/ NA / N / R / V / B / T / S ] <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE.. [~~/ NA / N / R / V / B / T / S ] <br /> <br />[C] OFFSITE SUPPORT FACILITIES........ [~,Y~/ NA / N / R / V / B / T / S ] <br />[C] RECLAMATION SUCCESS ............... [ Y / NA / N R~ <br />/. / V / B / T / S ] <br />[C] SPECIAL CATEGORIES OF MINING...... [ Y /, ~N11~/ N ` <br />/ R / V / B / T / S ] <br /> <br />(1) ------- - -------- [20 <br />(2) -------------------- Spaces <br />(3) -------------------- Max] <br />[C] OTHERS ............................ [ Y / NA'/ N / R / V / B / T ] <br />_i <br />(1) - -------------- [20 <br />- - - - - <br />(2) ____________ paces <br />(3) -------------------- Max] <br />NOTE: [C] = Required Entry. <br />