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' 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 Violatib INOVI or Cessation Order (CO) Issued B = Inspected and Both Coments 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: fCl AVAILABILITY OF RECORDS ............. ... Y / NA / N /~ / V / B / T / S [C] SIGNS AND MARKERS ................. ... Y / NA / N /®/ V / B / T / S [C] ROADS ........................... ... O/ NA / N / R / V / B / T / S [Cl HYDROLOGIC BALANCE ............... ... Y / NA / N /~/ V / B / T / S lCl BACKFILL & GRADING ................. ... v/ NA / N / R / V / B / T / S [C] EXPLOSIVES ........................ ... Y ! ~ / N / R / V / B / T / S [C] PROCESSING WASTE ................. ... Y / ® / N / R / V / B / T / S [CI SUPPORT FACILITIES ................. ... Y / NA / N /~/ V / B / T / S [CI TOPSOIL .......................... ... t :1 / NA / N / R / V / B / T / S [Cl GENERAL MINE PLAN COMPLIANCE ....... / ~ ... ~Z' / NA / N / R / V / B / T / S [Cl FISH & WILDLIFE ..................... ... Q/ NA / N / R / V / B / T / S [Cl REVEGETATION ..................... ... Q/ NA / N / R / V / B / T / S ICI AIR RESOURCE PROTECTION ............ ... ~/ NA / N / R / V / B / T / S IC] SLIDES & DAMAGE ................... ... ~/ NA / N / R / V / B / T / S [C] SUBSIDENCE ....................... ... Y / ~ / N / R / V / B / T / S [Cl EXCESS SPOIL& DEVELOPMENT WASTE ... ... Y / / N / R / V / B / T / S [CI OFFSITE SUPPORT FACILITIES ........... ... Y / ® / N / R / V / B / T ! S fCl RECLAMATION SUCCESS .............. ... Y / 1~ / N / R / V / B / T / S IC] SPECIAL CATEGORIES OF MINING ........ ... Y / 1~ / N / R / V / B / T / S (1) - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - - - (3) [C] OTHERS ........................... ... Y / ~I / N / R / V / B / T (1) - - - - - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - (3)