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For the Foll~.,i~ig Entries, Circle The Appropriatz Choice: = nspec, a an dun in Comp lance, NA = Inspection Topic not applicable, N Nit Inspected, R _ Inspected and Comments noted, Y =Inspected and Violations (~OY1 or Cessation Order (CO) issued, B =Inspected and both Comments noted 8 Violations or C essation Order issued, T _ 10 Day Notice issued by OSM Oversight Personnel, S =Sample taken and sent to the lab from analysis - describe type ana location of sample taken under comment section, GENERAL INSPECTION TOPICS: CORDS........... L Y / NA / ~/ R / V / B / T / S LCJ SIGNS AND MARKERS ................. LCD / NA / N / R / Y / e / T / c 'i LCJ ROADS ............................. L ©/ NA / N / R / V / B / T / 5 LCJ HYDROLOGIC BALANCE,,,,,,,,,,,,,,,, L Y / NA / N /@ / V / B / T / S j LCJ BACKFILL 8 GRADING ................ L~ / NA / N / R / V / B / T / S LCJ EXPLOSIVES ........................ l Y/ l~A>/ N / R / V / 8 / T / 5 j lr=J PROCESSING MASTES ................. L Y / ~ / N / R / Y / B / T / S j LCJ SUPPORT FACILITIES ................ L Y/ ~/ N / R / V / B / T / S l LCJ TOPSOIL ........................... L ~/ NA / N / R / V / B / T / S J LCJ GENERAL MINE PLAN COMPLIANCE....,, L ~/ NA / N / R / Y / B / T / S 1 LCJ FISH d kILDLIFE ................... L Y / NA / N / ®/ V / B / T / S LCJ REVEGETATION ...................... L Y / NA / N / (~ / V / B / T / S ] LCJ AIR RESOURCE PROTECTION........... L Y /~'/1 / N / R / Y / B / T / S J LCJ SLIDES b DAMAGE ................... L Y / ~/ N / R / V / 8 / T / S ] LCJ SUBSIDENCE ........................ L Y / NA / ®/ R / V / B / T / 5 7 LCJ EXCESS SPOIL d DEVELOPMENT MASTE.. L Y / (l`A / N / R / Y / B / T / S LCJ OFFSITE SUPPORT FACILITIES........ l Y / ~ / N / R / V / B / T / S LCJ RECLAMATION SUCCESS ............... L Y / NA / N /(q)/ V / B / T / S J LCJ SPECIAL CATEGORIES OF MINING...... L Y / ~/ N / R / V / B / T / S J (1) L20 (2) -------------------- Spaces (3) --------------------- Max] - - - - - - - - - - - - - - - - - - - - LCJ OTHERS ............................ L Y/ ~/ N/ R/ V/ B/ T J (1) L20 (2) -------------------- SDaces (3) -------------------- MaxJ - - - - - - - - - - - - - - - - - - - - NOTE: LCJ s Required Entry.