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For the Folly„i~ig Entries, Circle The Appropriate Choice: = nspe.: e an dun rn comp lance, NA = Inspection Topic not applicable, N Nit Inspected, R =Inspected and romments noted, V =Inspected and Violations (VOV) dr Cessation Order (CO) issues, B Inspected and both Comments noted 8 Violations or Cessation Order issued, T 10 Day Notice Issued by OSM Oversight Personnel, S =Sample taken and sent to the lab from analysis - describe type and location of sample taken under comment section. GENERAL INSPECTION TOPICS: CORDS........... L Y / NA / N / R / V / B / T / $ ] LCJ SIGNS AND MARKERS ................. l Y / NA / N / / V / B / T / S J LCJ ROADS ............................. L Y / NA / N / R / V / B / T / S J LCJ HYDROLOGIC BALANCE ................ L Y / NA / N / R / Y / B / T / S LCJ BACKFILL 8 GRADING ................ L Y / A / N / R / V / B / T / S J lCJ EXPLOSIVES ........................ L Y / NA / N / R / V / B / T / S J lCJ PROCESSING WASTES ................. L Y / NA / N / R / V / B / T / S lCJ SUPPORT FACILITIES ................ L Y / NA / N / R / V / B / T / S J LC] TOPSOIL ...................... .... L Y / NA / N /~/ V / B / T / S LCJ GENERAL MINE PLAN COMPLIANCE,,,,.. L Y / NA / N / R V / B / T / S LCJ FISH d WILDLIFE ................... L Y / NA / N / R V / B / 7 / S LCJ REVEGETATION ...................... l Y / NA / N / R / V / B / T / S J LCJ AIR RESWRCE PROTECTION........... L Y / NA ,/ N / R / V / 8 / 7 / S J LCJ SLIDES b DAMAGE ................... l Y / NA / N / V / B / T / S LCJ SUBSIDENCE ........................ L Y / N / N ~ / R/ V / 6 / 7 / S J LCJ EXCESS SPOIL b DEVELOPMENT WASTE.. l Y / ~N~ / N / R / V / B / T / S LCJ OFFSITE SUPPORT FACILITIES........ L Y / NA / N / R / V / B / T / S J LCJ RECLAMATION SUCCESS ............... L Y / NA / N / V / B / T / S LCJ SPECIAL CATEGORIES OF MINING...... L Y / NA / N / R V / B / T / S J (1) L20 12) --------------------_ SDaces (3) -------------------- MaxJ LCJ OTHERS ............................ L Y/ NA / N/ R/ V/ B/ T J (1) L20 (2) ------------------`- SDaces (3) -------------------- MaxJ NOTE: lCJ Required Entry.