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For the Fol%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 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: ICI AVAILABILITY OF RECORDS ............. ... Y / NA / N / ®/ V / B / T / S (C] SIGNS AND MARKERS ................. ... ®/ NA / N / R / V / B / T / S ICl ROADS ........................... ... Y / NA / N / ®/ V / B / T / S ICl HYDROLOGIC BALANCE ............... ... Y / NA / N / ~ / V / B / T / S ICl BACKFILL & GRADING ................. ... ~/ NA / N / R / V / B / T / S ICI EXPLOSIVES ........................ ... ®/ NA / N / R / V / B / T / S ICI PROCESSING WASTE ................. ... Y / (~ / N / R / V / B / T / S [Cl SUPPORT FACILITIES ................. ... Y / NA / N / R / V / B / T / S [CI TOPSOIL .......................... ... ~ / NA / N / R / V / B / T / S [CI GENERAL MINE PLAN COMPLIANCE ....... ... ~ / NA / N / R / V / B / T / S [CI FISH & WILDLIFE ..................... ... ~ / NA / N / R / V / B / T / S [CI REVEGETATION ..................... ... ~ / NA / N / R / V / B / T / S ICI AIR RESOURCE PROTECTION ............ ... ~ / NA / N / R / V / B / T / S IC] SLIDES & DAMAGE ................... ... Y / NA / N / ~ / V / B / T / S ICI SUBSIDENCE ....................... ... ~j / NA / N / R / V / B / T / S [C] EXCESS SPOIL & DEVELOPMENT WASTE ... ... ~/ NA / N / R / V / B / T / S [Cl OFFSITE SUPPORT FACILITIES ........... ... Y / I®/ N / R / V / B / T / S [CI RECLAMATION SUCCESS .............. ... ®/ NA / N / R / V / B / T / S fC] SPECIAL CATEGORIES OF MINING ........ ... Y / ~A / N / R / V / B / T / S (1) (2) (31 lCl OTHERS .............................. Y / ~ / N / R / V / B / T (1) (2) ---- - - - - - - - - - - (3)