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For the Fol/owing Entries, Circle the Appropriate C/roice: Y = Inspc~.r~~d and Found in Comphancr NA = Insper.tion 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 / N /®/ V / B / T / S ICl SIGNS AND MARKERS ................. ... Y / NA ~' / R / V / B / T / S ICI ROADS ........................... ... Y / NA / ~ / R / V / B / T / S ICI HYDROLOGIC BALANCE ............... . Y / NA / N /~ / V / B / T / S ICI BACKFILL & GRADING ................. ... Y / NA / ~ / R / V / B / T / 5 ICI EXPLOSIVES ........................ ... Y / PJA l~! i R / V / B / T / S ICI PROCESSING WASTE ................. ... Y / PJA / ~ / R / V ! B / T / S ICI SUPPORT FACILITIES ................. .. Y / NA / ®/ R / V / B / T / S ICI TOPSOIL .......................... ... Y / NA / ~ / R / V / B / T / S ICI GENERAL MINE PLAN COMPLIANCE ....... ... Y / NA / (I~ i R / V / 6 / T / S ICI FISH & WILDLIFE ..................... ... Y / NA / ~ / R / V / B / T / S ICl REVEGETATION .. .................. ... Y / NA / ~ / R / V / B / T / S ICI AIR RESOURCE PROTECTION ............ ... Y / PJA ; ~ / R / V / B / T / S ICI SLIDES & DAMAGE ................... ... Y / PJA i0 / R / V / B / T / S ICI SUBSIDENCE ....................... ... Y / NA /~ / R ! V / B / T / S ICl EXCESS SPOIL & DEVELOPMENT WASTE .. Y / NA /'N / R l V l B I T / S ICl OFFSITE SUPPORT FACILITIES ............ .. Y / PJA ; ON / R / V / B / T / 5 ICI RECLAMATION SUCCESS ............... .. Y / NA !Q / R i V / 8 / 7 i S ICI SPECIAL CATEGORIES OF MINING ......... .. Y / PJA /~ / R / V / B / T / S i11 - - - - - - - - - - - - - - - - - - - - (21 ----------- -- - - -- - - - -- (3) fCl OTHERS ............................ .. Y / NA / ~ / R / V / 8 / T 11) ----------- -- - - -- - - - - -- 12) ----------- -- - - -- - - - -