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N +/ ~ r. For the Fo/%wing 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 (C01 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 /~ / N / R / V / B / T / S lC] SIGNS AND MARKERS .................... Y / NA / ~/ R / V / B / T / S lC] ROADS .............................. C/ NA / N / R / V ( B I T ( S [C] HYDROLOGIC BALANCE .................... Y / NA / N /~/ V / B / T / S [C] BACKFILL & GRADING .................... Y / NA / N /®/ V / B / T / S i [C1 EXPLOSIVES ........................... Y /~,y/ N/ R / V / B / T / S [C] PROCESSING WASTE .................... Y /~ / N / R / V / B / T / S [C] SUPPORT FACILITIES ..................... Y (~ / N/ R/ V I B I T ! S [C] TOPSOIL ............................. ~ NA / N / R / V / B / T / S [C] GENERAL MINE PLAN COMPLIANCE .......... (Y J NA / N / R / V / B / T / S lC] FISH & WILDLIFE ........................ Y / NA /~/ R / V / B / T / S [C] REVEGETATION ........................ Y / NA / N /~/ V / B / T / S [C] AIR RESOURCE PROTECTION ............... Y / NA ICN ! R / V ! B I T ! S [C] SLIDES & DAMAGE ...................... Y / NA / N /~/ V / B / T / S ]C] SUBSIDENCE .......................... Y / NA ~ / R / V / B / T / S [C] EXCESS SPOIL & DEVELOPMENT WASTE ...... Y / N \I / N / R / V / B / T / S IC] OFFSITE SUPPORT FACILITIES .............. Y /~ / N / R / V / B / T ! S [C] RECLAMATION SUCCESS .................. ~~/ NA / N / R / V / B / T / S [C] SPECIAL CATEGORIES OF MINING ........... Y ~q' / N / R / V / B / T / S 111 - - - - - - - - - - - (21 - - - - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - - - - - - - - - - lC] OTHERS ............................... Y / NA / N / R / V / B / T 11- 121 - - - - - - - - - - - - - - - - - - - - (3)