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For the Following Entries, Circle the Appropriate Choice. Y = Inspe~acrl and Found m Compliance; NA = Inspera~on Topic Not Applicable N = Not Inspected R = Inspected and Comments Noted V = Inspected and Violations (NOVI or Cessation Order (COI 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: ICI AVAILABILITY OF RECORDS ............. ... Y / NA /~/ R / V / B / T / 5 ICl SIGNS AND MARKERS ................. ... Y / NA / / R / V / B / T / S ICI ROADS ........................... ... 0/ NA / N / R / V ! B / T / S ICI HYDROLOGIC BALANCE ............... . Y / NA / N / R / V / B / T / S ICl BACKFILL & GRADING ................. ... Y / NA / / R / V / B / T / S ICl EXPLOSIVES ........................ ... Y / NA / N / R / V / 6 / T / S ICI PROCESSING WASTE ................. ... Y / NA / / R / V / B / T ! 5 ICI SUPPORT FACILITIES ................. ... ~/ NA / N / R / V / B / T / S ICI TOPSOIL .......................... ... Y / NA / ~1 / R / V / B / T / S ICI GENERAL MINE PLAN COMPLIANCE ....... ... ~/ NA ! N i R l V / B / T / S ICI FISH & WILDLIFE ..................... ... Y / NA /~IJ / R / V ! B / T / S ICI REVEGETATION .. .................. ... Y / NA / N ! R / V / B / T / S ICI AIR RESOURCE PROTECTION ............ ... Y / NA N / R 1 V / B / T ! S ICI SLIDES & DAMAGE ................... ... Y / NA i N / R / V / B / T / S ICI SUBSIDENCE ....................... ... Y / NA / N ! R / V / B / T / S ICl EXCESS SPOIL& DEVELOPMENT WASTE ... Y / NA / N / R / V / B / T / S ICI OFFSITE SUPPORT FACILITIES ........... ... Y / NA ! N / R / V / B / T ! S ICI RECLAMATION SUCCESS .............. ... Y / NA ! N / R / V / B / T / S ICI SPECIAL CATEGORIES OF MINING ........ ... Y / NA / N / R / V / B / T / S 111 - - - - - - - - - - - - - - - - - - - - 121 ----------- -- 131 ICI OTHERS .............................. Y / NA ; ®/ R / V / B ! T (11 _ (21 - - - - - - - 13)