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e O"- ~ . ... . . y: ~ r For the Fo//owing Envies, Circ%~the Appropriate Choice: "' - -. . ~r ~' i4. .~. .. 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 (COI Issued 6 = Inspected end Both Comments Noted and Violations or Cessation Order Issued T =Ten-Day Notice Issued by OSM Oversight Personnel S =Sample Taken and Sent co the Cab For Analysis (Describe type and location of sample taker+ under Comment section.) DaER{IEfR/d~! lilfSIPEG'f9®[!1 fflP[CS: [Ct A~/AILABILITY OF RECORDS ....... Y/ NA / N IR t V I B/ T i S [C) SIGNS AND MARKERS ................ Y ! NA / N / R / V / B / T / S lCl ROADS ..... ...... Y/NA/N /R/ V /B/T/S {Cl ~-IYDROLOGIC BALANCE .............. Y I NA i N/ V / B/ T/ S IC) BACKFILL & GRADING ............. .. .. Y / NA / N /+~R~ / V / B / T / S [C? EXPLOSIVES .... ......... Y I~ I N/ R l V/ 8/ T/ S (CI PROCESSING YVASTE ............. Y / NA / N ~ / V / 8 / T / S [C7 SUPPORT FACILITIES .. ........ .. Y / NA / N A~R ! V / B ! T / S (C) YOPSOIL .... a'iclA/N /R! V /B/T/S [C) GENERAL ~VI1NE PLAN COMPLIANCE ... Y ~ NA / N ,f~ R~ I V / B / T / S [CI FISH & cAIILDLIFE .................... ~/ iUA / N /+-R~! V I B ! T J S {CI REVEGETATION .. .................. Y / NA / N ~~~ V / B / T / S [C] AIR RESOURCE PROTECTION ............... Y /dtN_A~` ! N / R / V / B / T / S . (C] SLIDES & DAMAGE ..................... i,Y ! NA / N / R / V / B ! T / S ICI SUBSIDENCE ...................... .... Y / NA / N /~ V / B / T / S [C] EXCESS SPOIL & DEVELOPMENT WASTE ...... Y / ~~ / N / RR / V / B / T / S {CI OFFSITE SUPPORT FACILITIES Y / NA / N ((R )y V / B / T / S [Cl RECLAMATION SUCCESS ................. Y / NA / N (`~~ V / 6 / T 1 S [CI SPECIAL CATEGORIES OF MINING ........... Y /~~ N / R / V / B / T / S (1) - - - - - - - - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - - IC1 OTHERS .............................. Y ,~A> / N / R / V / B / T . (1) - - - - - - - - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - - - - - - - (3)