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_~- For the Fallowing Entries, Circ% 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 ICO) 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] [C] (C] [C] rCl [C] fC] lC] fCl [C] [C] [C] [C] [C] [C] [Cl [C] [C] [C) [Cl ~~ q ~ cal AVAILABILITY OF RECORDS .......... ...... Y / ®/ N / R / V / B / T / S SIGNS AND MARKERS .............. ...... ~ NA / N / R / V / B / T / S ROADS ........................ ...... Y / NA / N R / V / B / T / S HYDROLOGIC BALANCE ............. ...... Y'/ NA / N / R / V / B / T / S BACKFILL & GRADING .............. ...... Y / NA / N / / V / B / T / S EXPLOSIVES ..................... ...... Y / ~ / N / R / V / B / T / S PROCESSING WASTE .............. ...... OY / NA / N / R / V / B / T / S SUPPORT FACILITIES ............... ...... Y I N / R / V / B / T / S TOPSOIL ....................... ...... ~l NA / N / R / V I B / T / S GENERAL MINE PLAN COMPLIANCE .... ...... Y / NA / N / R / V / B / T / S FISH & WILDLIFE .................. ... . .. Y NA / N I R / V / B I T I S REVEGETATION .................. ...... Y NA / N / R / V / B / T / S AIR RESOURCE PROTECTION ......... ...... Y NA I N I R / V / B / T / S SLIDES & DAMAGE ................ ...... Y NA / N / R ! V I B / T I S SUBSIDENCE .................... ...... Y NA / N / R / V / B / T / S EXCESS SPOIL & DEVELOPMENT WASTE ...... Y NA / N I R / V / B / T / S OFFSITE SUPPORT FACILITIES ........ ...... Y / NA / N / R / V / B / T / S RECLAMATION SUCCESS ............ ...... ~ NA I N / R / V / B / T / S SPECIAL CATEGORIES OF MINING ..... ...... Y / NA / N / R / V / B / T / S 111 - - - - - - - - - - - - - - - - - - - - 12) - - - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - - OTHERS ........................ ...... Y / NA / N / R / V / B / T 111 --------- ----- - - - - - - 121 - - - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - -