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AVS Annual Review <br /> Inspection Worksheet <br /> Date 24 October 2013 <br /> Mine Name/Permit Number Trapper Mine; C-1981-010 <br /> Inspector Signature J� <br /> Based on your ON-SITE Observation,please answer the following: <br /> 1) Mine ID sign <br /> a) Permittee Trapper Mining,Inc. <br /> b) Operator Trapper Minim,Inc. <br /> c) MSHA ID Not on sign I(not required to be on sign) <br /> 2) Direct inquiry(of persons on the site) <br /> a) Permittee Trapper Mining,Inc. <br /> b) Operator Trapper Mining,Inc. <br /> c) MSHA ID 0502838 <br /> 3) Is ownership/control information for permittee and operator noted in field consistent with <br /> what is listed in the permit application? Yes x No <br /> If No,what is in conflict? <br /> DRMS is required to verify this information as specified in the AVS MOU if the permitting action was <br /> approved subsequently to the MOU(renewal,transfers and revisions). Annually as long as coal <br /> extraction from the site has not been completed,DRMS must determine whether officer/controller <br /> information is complete and accurate in AVS. In making the determination of complete and accurate <br /> information,on-site observations and direct inquiry of persons on the site is necessary. The information <br /> on this form will be verified with AML,MSHA,and EIA information in AVS. Please return the form to <br /> Mary Rodriguez to be verified in AVS. <br />