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For fhe Following Entries, Circ% 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 ICO) 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 lCl AVAILABILITY OF RECORDS ............. ... Y / NA / ©/ R / V / B / T / S [Cl SIGNS AND MARKERS ................. ... O / NA ! N / R / V / B / T / S IC] ROADS ........................... ... Q/ NA / N / R ! V / B / T / S (C] HYDROLOGIC BALANCE ............... ... o/ NA / N / R / V / B / T / S 1C7 BACKFILL & GRADING ................. ... O / NA / N / R / V / B ! T / S [Cl EXPLOSIVES ........................ ... Y / NA ! ®/ R / V / B / T ! S IC] PROCESSING WASTE ................. ... Y / ~ / N / R / V / B / T / S [Cl SUPPORT FACILITIES ................. ... Y / NA / O / R / V / B / T / S [Cl TOPSOIL .......................... .. . Y / NA / ©/ R / V / B / T / S 1C1 GENERAL MINE PLAN COMPLIANCE ....... ... ~ / NA / N i R / V / B / T / S [Cl FISH & WILDLIFE ..................... .. . Y / NA / NO/ R / V / e / T / S [Cl REVEGETATION ..................... ... Y / NA / ~1 / R / V / B / T / S [C] AIR RESOURCE PROTECTION ............ .. . Y / NA / to / R / V / 6 / T / S [C] SLIDES & DAMAGE ................... ... Y /~ / N / R / V / 8 / T / S [C] SUBSIDENCE ....................... ... Y /®/ N / R / V / B / T / S [C] EXCESS SPOIL& DEVELOPMENT WASTE .. .., YO / NA / N / R / V / B / T / S [C1 OFFSITE SUPPORT FACILITIES ........... ... Y / NA / N / R / V / B / T / S [C] RECLAMATION SUCCESS .............. ... Y / NA ! N / R / V / B / T / S lC] SPECIAL CATEGORIES OF MINING ........ ... Y / N®/ N / R / V / B / T / S (1) - - - - - - - - - - - - - - - - - - - - (2) ----------- ------ - - - - (31 - - - - - - - - - - - - - - - - - - - - [C7 OTHERS ........................... ... Y / N®/ N / R / V / B / T (1) - - - - - - - - - - - - - - - (21 - - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - -