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For the Following Entries, Circle the Appropriate Clrnice: Y = Inspc~.u~r1 and Found m Compliance NA = Inspaaion Topic Not Applicable N = Not Inspected R = Inspected and Comments Noted V = Inspected and Violations (NOV) or Cessation Order ICOI Issued B = Inspected and Both Comments Noted and Violations or Cessation Order Issued T = Ten-Day Notice Issued by OSM Oversight Personnel S = Sample Taken and Sent to the Lab for Analysis (Describe type and location of sample taken under Comment section.) GENERAL INSPECTION TOPICS {C{ AVAILABILITY OF RECORDS ............. ... Y / NA / fJ I R / V / B / T / S ICl SIGNS AND MARKERS ................. ... Y / NA iOl R / V / B / T / S ICI ROADS ........................... ... Y / NA / NN /~ ! V / B / T / S ICI HYDROLOGIC BALANCE ............... ... Y / NA / (~N /~/ V /~! T / S ICI BACKFILL & GRADING ................. ... Y / NA /~ / R / V / B / T / S IC] EXPLOSIVES ........................ ... Y / NA /O/ R / V / e / T / S ICI PROCESSING WASTE ................. ... Y / NA /~/ R / V / 6 / T ( S ICl SUPPORT FACILITIES ................. ... Y / NA N / R / V / B / T / S fCl TOPSOIL .......................... ... Y / NA / ND/ R / V / B / T / S ICI GENERAL MINE PLAN COMPLIANCE ........ .. Y / NA ! N i R / V / B / T / S ICI FISH & WILDLIFE ..................... ... Y / NA N / R / V / B / T / S ICI REVEGETATION ..................... ... Y / NA N / R / V / B / T / S ICI AIR RESOURCE PROTECTION ............. .. Y / NA N / R / V / B / T / S ICI SLIDES & DAMAGE .................... .. Y / NA i N /~/ V / B / T / S ICl SUBSIDENCE ....................... ... Y / ~ / N / R / V / B / T / 5 ICI EXCESS SPOIL& DEVELOPMENT WASTE . .. Y / NA /~/ R / V / B / T / 5 ICl OFFSITE SUPPORT FACILITIES ............ .. Y /'l f ! N / R / V / B / T / S . ICI RECLAMATION SUCCESS ............... .. Y / A N ! tJ I R I V I B / T / S ICI SPECIAL CATEGORIES OF MINING ......... .. Y ~ ~ - /UrvA }' N / R / ~~ V / B / T / S (1) - - - - - - -- - - - 12> - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - - - ICI OTHERS ............................ .. Y N / N/ R/ V / 6 / T (1) ---------- -- -- - -- - -- -- 121 - - - - - - - - - - - - - - - - - I3)