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i For the Following Entries, Circle the Appropriate Choice: 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 (CO) 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 Y / NA / ©/ R / V / B / T / S Y/ NA /~/ R/ V/ B/ T/ S (~/ NA / N / R / V / B / T / S Y / NA / N / ®/ V / B / T / S IC1 AVAILABILITY OF RECORDS ............... . [C] SIGNS AND MARKERS ................... . ICI ROADS .............................. [C] HYDROLOGIC BALANCE .................. Y/ I i~PO / N/ R/ V/ B/ T/ S Y !~ ! N ! R Y / ~/ N / R Y / NA / 1V / R Y / NA / N / R O' NA / N / R Y / NA /~/ R / V ! B ! T / S / V / B / T / S / V / B / T / S / V / B / T / S / V / B / T / S / V / B / T / S Y / NA / ®/ R / V ! B / T / S Y / NA /®/ R / V / B / T / S Y ! ~ / N~ / R / V ! B / T ! S Y /~ ! N / R / V / B / T / S Y / ®/ N/ R / V / B / T / S Y / ©A / N/ R / V / B / T / S Y /~/ N/ R / V / B / T / S Y / ~/ N/ R / V / B / T / S ICl BACKFILL & GRADING ................... . IC] EXPLOSIVES ........................... [Cl PROCESSING WASTE .................... lC] SUPPORT FACILITIES ................... . [CI TOPSOIL ............................. [CI GENERAL MINE PLAN COMPLIANCE ......... . [C] FISH & WILDLIFE ....................... . IC] REVEGETATION ........................ [C] AIR RESOURCE PROTECTION .............. . [C] SLIDES & DAMAGE ..................... . ICI SUBSIDENCE .......................... IC] EXCESS SPOIL & DEVELOPMENT WASTE ..... . [CI OFFSITE SUPPORT FACILITIES ............. . IC] RECLAMATION SUCCESS ................. [C1 SPECIAL CATEGORIES OF MINING .......... . (1) (2) (3) Y/ J~ / N/ R/ V/ B/ T lC] OTHERS 111 121 (3)