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iSi For the Fo/%wing 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 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: [Cl AVAILABILITY OF RECORDS ................ Y / NA / N / ®/ V / B / T / S lC] SIGNS AND MARKERS .................... Y / NA /~ R / V / B / T / S IC] ROADS .............................. Y / NA / N /®/ V / B / T / S lCl HYDROLOGIC BALANCE ................... Y / NA / N /~/ V / B / T / S lCl BACKFILL & GRADING .................... Y / NA / ~ / R / V / B / T / S IC] EXPLOSIVES ........................... Y / NA /~/ R / V 1 B / T / S lCl PROCESSING WASTE .................... Y / NA / N / R / V / B / T / S lCl SUPPORT FACILITIES ..................... Y / NA / (~/ R / V / B / T / S lCl TOPSOIL ............................. Y / NA / ~ R / V / B / T / S lC] GENERAL MINE PLAN COMPLIANCE .......... tJ/ NA / N / R / V / B / T / S (C] FISH & WILDLIFE ........................ Y / NA / N / R / V / B / T / S ICI REVEGETATION ........................ Y / NA /©/ R / V / B / T / S [C] AIR RESOURCE PROTECTION ............... Y / NA / ©/ R / V / B / T / S ICJ SLIDES & DAMAGE ...................... Y / NA / ~/ R / V / B / T / S ICI SUBSIDENCE .......................... Y / ~JA~/ N / R / V / B / T / S [C] EXCESS SPOIL & DEVELOPMENT WASTE ...... Y / NA ! N / R / V / B / T / S IC] OFFSITE SUPPORT FACILITIES .............. Y / NA / N / R / V / B / T / S [C] RECLAMATION SUCCESS .................. Y / NA /©/ R / V / B / T / S lCl SPECIAL CATEGORIES OF MINING ........... Y I t~JA / N / R / V / B / T / S 111 - - - - - - - - - - - - - - - - - - - - 121 - - - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - - IC] OTHERS .............................. Y / NA / N /\J v V / B / T nJ PQ~1~-3~~ ~? ~Z - ---- - - - - I21 ----------- - ----- - - - 131 - - - - - - - - - - - - - - - - - - - -