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r For the Following Entries, Circle the Appropriate Choice: Y = Inspected and Found in Compliance NA = Inspection Topic Not Applicable N = Notlnspected R = Inspected and Comments Noted V = Inspected and Violations INOV) 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: IC] AVAILABILITY OF RECORDS ................ Y / NA / (~/ R / V / B / T / S IC] SIGNS AND MARKERS .................... Y / NA / ~/ R / V / B / T / S IC] ROADS .............................. Y / NA / N /®/ V / B / T / S ICl HYDROLOGIC BALANCE ................. . . Y / NA / N / ®/ V / B / T / S [C] BACKFILL & GRADING .................... Y / NA / N / ~' V / B / T / S IC] EXPLOSIVES ........................... Y / NA / N /®/ V / B / T / S IC] PROCESSING WASTE .................... Y / ~/ N / R / V / B / T / S (Cl SUPPORT FACILITIES ..................... Y / NA / O/ R / V / B / T / S [CI TOPSOIL ............................. Y / NA /®/ R / V / B / T / S [C] GENERAL MINE PLAN COMPLIANCE .......... ~/ NA / N / R / V / B / T / S IC] FISH & WILDLIFE ........................ Y / NA /©/ R / V / B / T / S [CI REVEGETATION ........................ Y / NA /((1]/ R / V / B / T / S [Cl AIR RESOURCE PROTECTION ............... ~/ NA / N / R / V / B / T ! S [C] SLIDES & DAMAGE ...................... 1' I NA / N / ®/ V / B / T / S lC] SUBSIDENCE .......................... Y / ®/ N / R / V / B / T / S IC1 EXCESS SPOIL & DEVELOPMENT WASTE ...... Y / ®/ N / R / V / B / T / S [C] OFFSITE SUPPORT FACILITIES .............. Y / ©A / N / R / V / B / T / S IC] RECLAMATION SUCCESS .................. Y / NA / ~/ R I V / B / T / S IC] SPECIAL CATEGORIES OF MINING ........... Y / ®/ N / R / V / B / T / S (11 - - - - - - - - - - - - - - - - - - - - 121 - - - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - - [CI OTHERS .............................. Y /~ N / R / V / B / T (1) - - - - - - - - - - - - - - - - - - - - 12) - - - - - - - - - - - - - - - - - - - - (31 - - - - - - - - - - - - - - - - - - - -