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R. • _I For the Fo(/owing Entries, Circle 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 (CO ) Issued B =Inspected and Both Comments N oted and Violations or Cessatio n 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 sa mple taken under Commen t s ection. ) GENERAL INSPECTION TOPICS: [C] AVAILABILITY OF RECORDS ................ Y / NA /©/ R / V / B / T / S [CI SIGNS AND MARKERS .................... ®/ NA / N / R / V / B / T / S [C] ROADS .............................. O! NA / N / R / V ! B / T ( S [C] HYDROLOGIC BALANCE .................. ~/ NA / N ! R / V / B / T / S [Cl BACKFILL & GRADING .................... Y / NA ! N ! ~/ V / B / T / S IC] EXPLOSIVES ........................... Y /~ / N I R / V / B / T / S [CI PROCESSING WASTE .................... Y /~ / N / R / V / B / T / S IC] SUPPORT FACILITIES .................... Y / NA l.!// R / V / B ( T / S [CI TOPSOIL ............................. Y / NA /~/ R / V / B / T / S ' [Cl GENERAL MINE PLAN COMPLIANCE .......... ~Y / NA / N / R / V / B / T / S [C] FISH & WILDLIFE ........................ Y / NA ~// R / V / B / T / S [CI REVEGETATION ........................ Y / NA / N ~/ V / B ! T / S ~ [Cl AIR RESOURCE PROTECTION ............... ~1 NA ! N / R 1 V ! B / T / S [CI SLIDES & DAMAGE ...................... ~Y / NA / N / R / V / B / T / S [C] SUBSIDENCE .......................... Y / NA /~/ R / V / B / T / S ICI EXCESS SPOIL & DEVELOPMENT WASTE ...... Y (~ / N / R / V / B / T / S [C] OFFSITE SUPPORT FACILITIES .............. Y ~N / N / R / V / B / T / S IC] RECLAMATION SUCCESS ................. YO/ NA / N / R / V / B / T / S [C] SPECIAL CATEGORIES OF MINING ........... Y ~ / N / R / V / B / T / S (1) - - - - - - - - - - - - - - - - - - - - (21 - - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - - [C1 OTHERS .............................. Y /®/ N / R / V / B / T (1) - - - - - - - - - - - - - - - - - - - - (21 - - = - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - -