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For the Following Entries, Circle the Appropriate C/force: Y = Inspected and Found in Compliance NA = Inspection Topic Not Applicable N = Not Inspected R = Inspected and Comments Noted V = Inspected and Violations (NOV) or Cessation Order (COI Issued B = Inspected and Bath 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: IC] AVAILABILITY OF RECORDS ............. ... Y / NA /~/ R / V / B / T / S (C1 SIGNS AND MARKERS ................. ... O / NA ( N ! R f V / B / T / S [C] ROADS ........................... ... Q/ NA / N / R / V / B / T / S [C] HYDROLOGIC BALANCE ............... ... ©/ NA / N / R / V / B / T / S [C] BACKFILL & GRADING ................. ... Y / NA ! l R ! V / B ! T / S [C) EXPLOSIVES ........................ ... Y / NA ///iii /( Iv,/ R / V / B / T / S [C] PROCESSING WASTE ................. ... Y / NA / N / R / V / B / T / S [C] SUPPORT FACILITIES ................. ... ~ ! NA ! N ! R ! V / B ! T 1 S [C] TOPSOIL .......................... ... Y / NA /O1 R / V / B / T / S [C] GENERAL MINE PLAN COMPLIANCE ....... ... YO/ NA ! N i R / V / B / T / S [C] FISH & WILDLIFE ..................... ... Y/ NA J I~! R / V 1 6 1 T I S ICI REVEGETATION ..................... ... Y / NA ,~N, / R / V / B / T / S [C] AIR RESOURCE PROTECTION ............ ... Y / NA / ©/ R / V / B / T / S [C1 SLIDES & DAMAGE ................... ... Y ! NA /~N / R / V / B / T / 5 [C] SUBSIDENCE ....................... ... Y / NA /ON / R / V / B / T / S [C] EXCESS SPOIL & DEVELOPMENT WASTE .. ... Q / NA / N / R / V / 8 / T / S IC] OFFSITE SUPPORT FACILITIES ........... ... Y /~ / N / R / V / B / T / S IC] RECLAMATION SUCCESS .............. ... Y / NA /0 / R / V / B / T / S [C] SPECIAL CATEGORIES OF MINING ........ ... Y / ~ / N / R / V / B / T / S (1) - - - - - - - - - - - - - - - - - (21 ----------- -- - - - - - (3) - - - - - - - - - - - - - - - - - - - - [C] OTHERS ........................... ... Y / ® / N / R / V / B / T (11 - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - - - - - - - 131