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1 <br /> For The Followin Entries Circle The A ror iate Choice: <br /> = nspec a an oun 1n comp lance, <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 /> [Ci AVAILABILITY OF RECORDS... .. . .. . . . [ Y / NA / N /, R• / V / B / T / S ] <br /> [C] SIGNS AND MARKERS. . .. ... . . . .. .. . . . [ Y / NA / N / R / V / B / T / S ] <br /> [C] ROADS. . .. . .. . .. . .... .. . .. . .. ... ... [ Y / NA / N /`R) / V / B / T / S ] <br /> [C] HYDROLOGIC BALANCE.... .. . ... .. . . . . [ Y / NA / N /."R�, / V / B / T / S ] <br /> [C] BACKFILL & GRADING. ... . . .. . .. .. .. . [i_Y) / NA / N / R / V / B / T / S ] <br /> [C] EXPLOSIVES. .. . . .. . .. ..... . .. .. .. .. [ Y / NA / N /'R) / V / B / T / S ] <br /> [C] PROCESSING WASTES. . . .. .. ... . .. ... . [ Y /CA / N / R / V / B / T / S ] <br /> [C] SUPPORT FACILITIES. .. ........ ... . . [`Y� / NA / N / R / V / B / T / S ] <br /> [C] TOPSOIL. . .. .. ... . ... .. ... ... .. .... [ Y / NA / N /(j / V / B / T / S ] <br /> [C] GENERAL MINE PLAN COMPLIANCE.... .. [G / NA / N / R / V / B / T / S ] <br /> [C] FISH & WILDLIFE.. .. . ... .. . ... .... . [(Y) / NA / N / R / V / B / T / S ] <br /> [C] REVEGETATION. .... ... .. . ... .... .. . . [ Y / NA / N / R; / V / B / T / S ] <br /> [C] AIR RESOURCE PROTECTION.. . . .. .. ... [(,Y) / NA / N / R / V / B / T / S ] <br /> [C] SLIDES & DAMAGE... .. ... ..... ..... . [ ry)/ NA / N / R / V / B / T / S ] <br /> [C] SUBSIDENCE. ... .. .. .. ...... ... ..... [ Y /CNAI / N / R / V / B / T / S ] <br /> [C] EXCESS SPOIL & DEVELOPMENT WASTE.. [ Y / LA / N / R / V / B / T / S ] <br /> [C] OFFSITE SUPPORT FACILITIES.. ...... [ Y / � / N / R / V / B / T / S ] <br /> [C] RECLAMATION SUCCESS.. .. . ....... . .. [ Y / NA / N /1)/ V / B / T / S ] <br /> [C] SPECIAL CATEGORIES OF MINING... . .. [ Y / NA / N / R / V / B / T / S ] <br /> (1) - - - - - - - - - - - - - - - - - - - - [20 <br /> (3) - - - - - - - - - - - - - - - - - - - - SpaMax] <br /> [C] OTHERS. . .. . ... ........... .. .. ..... [ Y / NA / N / R / V / B / T ] <br /> (1 ) — [20 <br /> (2) - - - - - - - - - - - - - - - - - - - Spaces <br /> (3) - - - - - - - - - - - - - - - - - - - - Max] <br /> NOTE: [C] = Required Entry. <br />