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For the Fol%wing Entries, Circ% 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 (NOV) 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: fCl AVAILABILITY OF RECORDS ...... ....... ... Y / NA / ~ R / V / B / T / S ICI SIGNS AND MARKERS .......... ....... ... Y / NA R /~ / V / B / T / S // ''11 lC] ROADS .................... ....... ... Y / NA / N /l,g // V / B / T / S lC] HYDROLOGIC BALANCE ......... ....... ... Y / NA / N /~ V / 8 / T / S [C] BACKFILL & GRADING .......... ....... ... Y / NA / N /~ V / B / T / S [C] EXPLOSIVES ................. ....... ... Y / NA /(~/ R / V / B / T / S fCl PROCESSING WASTE .......... ....... ... Y / NA / N / R / V / B / T / S ICI SUPPORT FACILITIES ........... ....... ... Y / NA /~/ R / V / B / T / S fCl TOPSOIL ................... ....... ... Y / NA /~ R / V / B / T / S lC] GENERAL MINE PLAN COMPLIANCE ....... ... ~ NA / N / R / V / B / T / S IC] FISH & WILDLIFE .............. ....... ... Y / NA /QN / R / V / B / T / S ICI REVEGETATION .............. ....... ... Y / NA / N~ R / V / B / T / S IC] AIR RESOURCE PROTECTION ..... ....... ... ~ / NA / N / R / V / B / T / S [C] SLIDES & DAMAGE ............ ....... ... Y / NA / ©/ R / V / B / T / S fC] SUBSIDENCE ................ ....... ... Y / N / N / R / V / B / T / S [C] EXCESS SPOIL & DEVELOPMENT WASTE ... ... Y N / N / R / V / B / T / S lC] OFFSITE SUPPORT FACILITIES .... ....... ... Y /lam` / N ~ / R / V / B / T / S ICl RECLAMATION SUCCESS ........ ....... ... Y / NA / N /® / V / B / T / S ICI SPECIAL CATEGORIES OF MINING . ....... ... U/ NA / N / R / V / B / T / S 111 ~Sd 3L-~= ~- - - -- - - - - ~ 121 - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - - [C] OTHERS ..................... ...... ... Y / NA / N / R / V / B / T 111 - - - - - - - - - - - - - - - - - 121 - - - - - - - - - - - - - - - 131