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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 (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: [Cl AVAILABILITY OF RECORDS ............. ... Y / NA / ®/ R / V / B / T / S [C] SIGNS AND MARKERS ................. ... Y / NA /~) / R / V / B / T / S (C] ROADS ........................... ... Y / NA /~ / R ( V / B / T ( S [C] HYDROLOGIC BALANCE ................ ... Y / NA / N / ®/ V / B / T ! S [Cl BACKFILL & GRADING ................. ... Y / NA / ~ / R ! V / B / T / S ICI EXPLOSIVES ........................ ... Y / NA / ©/ R / V / B / T / S ICI PROCESSING WASTE ................. ... Y / NA /,®/ R / V / B / T / S [Cl SUPPORT FACILITIES ................... .. Y / NA / ~l / R / V / B / T / S (C] TOPSOIL .......................... ... Y / NA / / R ( V / B / T / S lCl GENERAL MINE PLAN COMPLIANCE ....... ... Y / NA / / R / V / B / T / S ICl FISH & WILDLIFE ..................... ... Y / NA / / R / V / B 1 T / S lC1 REVEGETATION ..................... ... Y / NA J ~Rj / R / V / B / T / S IC] AIR RESOURCE PROTECTION ............ ... Y / NA / ?AiV / R / V / B / T / S [CI SLIDES & DAMAGE .................... .. Y / NA / ©/ R / V / B / T / S [CI SUBSIDENCE ....................... ... Y / NA / 0 / R / V / B / T / S lCl EXCESS SPOIL & DEVELOPMENT WASTE ... ... Y / NA / ~ / R / V / B / T / S p ~ ICI OFFSITE SUPPORT FACILITIES ........... ... Y / NA / f Y / R / V / B ! T ! S {~~ ,,{ (CI RECLAMATION SUCCESS ............... ... Y / NA /'N / R / V / B / T / S lC1 SPECIAL CATEGORIES OF MINING ......... .. Y / NA /~ / R / V / B / T / S 11) - - - - - - - - - - - - - - - - - - - - 121 - - - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - - IC] OTHERS ........................... ... Y / NA / ~/ R / V / B / T 11) - - - - - - - - - - - - - - - - - - - - 121 - - - - - - - - - - - - - - - - - - - - (31 - - - - - - - - - - - - - - - - - - - -