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For the Following Entries, Circle 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 (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: [C] AVAILABILITY OF RECORDS ............. ... Y / NA / N / R / V / B / T / S [C] SIGNS AND MARKERS ................. ... Y / NA / IV / R / V / B / T / S [C] ROADS ........................... ... Y / NA / N / R / V / B / T / S [C1 HYDROLOGIC BALANCE ................ ... Y ! NA / N / R ! V / B ! T / S [C] BACKFILL&GRADING ................. ... Y / NA / N / R / V / B / T / S [Cl EXPLOSIVES ........................ ... Y / NA / N / 9 / V / B / T / S [C] PROCESSING WASTE .................. ... Y / IA / N / R / V / B / T / S [C] SUPPORT FACILITIES .................. ... Y / NA / N / R / V / B / T / S [C] TOPSOIL .......................... ... Y / NA / N / R / V ( B / T / S [C1 GENERAL MINE PLAN COMPLIANCE ....... ... Y / NA / N / R / V / B / T / S [C] FISH & WILDLIFE ..................... ... Y / NA / N / R / V / B / T I S [C] REVEGETATION ..................... ... Y / NA / N / R / V / B / T / S [C] AIR RESOURCE PROTECTION ............ ... Y / NA / N / R / V / B / T / S [CI SLIDES & DAMAGE .................... .. Y / 111A / N / R / V / B / T / S [Cl SUBSIDENCE ........................ .. Y / NA / IV / R / V / B / T / S [Cl EXCESS SPOIL & DEVELOPMENT WASTE .... ... Y ( NA / N ! R f V ( B ! T ( S [C] OFFSITE SUPPORT FACILITIES ............ .. Y / 111A / N / R / V / B / T / S lC] RECLAMATION SUCCESS ................ .. Y / NA / N / R / V / B / T / S [C] SPECIAL CATEGORIES OF MINING .......... .. Y / Nom! / N / R / V / B / T / S 111 - - - - - - - - - - - - - - - - - - - - (21 - - - - - - - - - - - - - - - - - - - - (31 - - - - - - - - - - - - - - - - - - - - [C] OTHERS ............................ .. Y / - A / N / R / V / B / T (1) - - - - - - - - - - - - - - - - - - - - (21 - - - - - - - - - - - - - - - - - - - - (31 - - - - - - - - - - - - - - - - - - - -