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/yleel~~- C'- $/-03.2 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 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: [Cl AVAILABILITY OF RECORDS ............. ... Y / NA / ©/ R / V / B / T / S ICI SIGNS AND MARKERS ...... . .......... ... ~ / NA / N / R / V / B / T / S fCl ROADS ........................... ... ~ / NA / N / R / V / B / T / S fC] HYDROLOGIC BALANCE ............... ... Y / NA / N /®/ V / B / T / S lC] BACKFILL & GRADING ................. ... Y / NA / N /®/ V / B / T / S fC] EXPLOSIVES ........................ ... Y /~ / N / R / V / B / T / S [C] PROCESSING WASTE ................. ... Y / ®/ N / R / V / B / T / S [CI SUPPORT FACILITIES ................. ... Y / NA /®/ R / V / B / T / S [C] TOPSOIL .......................... ... ®/ NA / N / R / V / B / T / S lC] GENERAL MINE PLAN COMPLIANCE ....... ... ~/ NA / N / R / V / B / T / S lCl FISH & WILDLIFE ..................... ... Y / NA / m/ R / V / B / T / S [Cl REVEGETATION ..................... ... Y / NA / N /®/ V / B / T / S ICl AIR RESOURCE PROTECTION ............ ... Y / NA / ~ / R / V / 6 / T / S IC1 SLIDES & DAMAGE ................... ... Y / NA / N / ~ / V / B / T / S IC] SUBSIDENCE ....................... ... Y / NA /®/ R / V / B / T / S IC] EXCESS SPOIL& DEVELOPMENT WASTE ... ... Y /~/ N / R ! V / B / T / S [CI OFFSITE SUPPORT FACILITIES ........... ... Y / ~/ N / R / V / B / T / S [Cl RECLAMATION SUCCESS .............. ... ~/ NA / N / R / V / B / T / S lCl SPECIAL CATEGORIES OF MINING ........ ... Y / ~/ N / R / V / B / T / S 111 - - - - - - - - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - - [Cl OTHERS ........................... ... Y / NA / N / R / V / B / T (1) - - - - - - - - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - - - - - - - (31 - - - - - - - - - - - - - - - - - - - -