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For the Fo/%wing 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: [C] AVAILABILITY OF RECORDS ........... ..... Y NA N ! R ! V / B / T / S [C] SIGNS AND MARKERS ............... ..... Y / NA / N ~ V / B / T / S [C] ROADS ......................... ..... Y / NA / N /~ V / B / T / S ICI HYDROLOGIC BALANCE ............. ..... Y ! NA I N ~ V 1 B ! T / S [C] BACKFILL & GRADING ............... ..... Y / NA / N / R / V / B / T / S IC1 EXPLOSIVES ...................... ..... Y NA / N / R / V / B / T / S [C] PROCESSING WASTE ............... ..... Y / JivA N 1 R 1 V / B / T / S [C] SUPPORT FACILITIES ............... ..... Y / A) N / R / V / B / T / S [Cl TOPSOIL ........................ ..... Y /NA/ N /~V / B / T / S IC] GENERAL MINE PLAN COMPLIANCE ..... ..... Y / NA / N ~/ V / B / T / S / ~ [CI FISH & WILDLIFE ................... ..... ( Y / NA / N / R / V / B / T / S [CI REVEGETATION ................... ..... Y / NA / N ~ V / B / T / S [C] AIR RESOURCE PROTECTION .......... ..... Y NA / N ! R / V / B / T / S [C] SLIDES & DAMAGE ................. ~ .....( Y ,V NA / N / R / V / B / T / S IC] SUBSIDENCE ..................... ..... Y /~lA-y N / R / V / B / T / S [Cl EXCESS SPOIL & DEVELOPMENT WASTE . ..... Y / NA / N ~/ V / B / T / S [CI OFFSITE SUPPORT FACILITIES ......... ..... Y / ~/ N / RR / V / B / T / S ~ [C] RECLAMATION SUCCESS ............ ..... Y / NA / N /( R// V / B / T / S [CI SPECIAL CATEGORIES OF MINING ...... ..... Y // lA / ~ N /~R / V / B / T / S (11 - - - - - - - - - - - - - - - - - - - - (21 - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - - - - [CI OTHERS ......................... ..... Y / NA / N / R / V / B / T 111 - - - - - - - - - (21 - - - - - - - - - - - - - - - - - - - - 13) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -