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For the Fo/%wing Entries, Circle fhe Appropriate Choice: Y = Inspected and Found in Compliance NA = Inspection Topic Not Applicable N = Notlnspected R =Inspected and Comments Noted V = Inspected and Violations (NOV) or Cessation Order (COI Issued B = Inspected and Both Comments Noted and Violations or Cessation Orderlssued 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: IC] AVAILABILITY OF RECORDS ................ Y / NA / m / R / V / B / T / S IC] SIGNS AND MARKERS .................... (~/ NA / N / R / V / B / T I S [C1 ROADS .............................. Y / NA / N / ~ / V / B / T / S [C] HYDROLOGIC BALANCE ................... Y 1 NA l ®I R ! V 1 B 1 T I S [Cl BACKFILL & GRADING .................... Y / NA / ©/ R / V / B / T / S IC] EXPLOSIVES ........................... Y / NA / Q / R / V / B / T / S [Cl PROCESSING WASTE .................... Y / ®/ N / R / V / B / T / S IC] SUPPORT FACILITIES ..................... Y / NA / ©/ R / V / B / T / S [CI TOPSOIL ............................. Y I NA / ©/ R / V / B / T / S [C] GENERAL MINE PLAN COMPLIANCE .......... m / NA / N / R / V / B / T / S [C] FISH & WILDLIFE ........................ Y / NA / ~ / R / V / B / T / S [CI REVEGETATION ..................:..... Y / NA / (~ / R / V / B / T / S [C] AIR RESOURCE PROTECTION ............... ©/ NA / N / R / V / B / T / S [C] SLIDES & DAMAGE ...................... Y / NA /~/ R / V / B / T / S [C] SUBSIDENCE .......................... Y / ~ / N / R / V / B / T / S fC] EXCESS SPOIL & DEVELOPMENT WASTE ...... Y /®/ N / R / V / B / T / S ICI OFFSITE SUPPORT FACILITIES .............. Y / NA / ®/ R / V / B / T / S [C] RECLAMATION SUCCESS .................. Y / NA /(~ / R / V / B / T / S [C] SPECIAL CATEGORIES OF MINING ........... Y /®/ N / R / V / B / T / S 111 - - - - - - - - - - - - - - - - - - - - 121 - - - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - - IC] OTHERS ........................ . ..... Y / ~ / N / R / V / B / T 111 - - - - - - - - - - - - - - - - - - - - 121 - - - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - - ;~z~q6