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<~ ~ - r " i~ For The Follor,ing Entries, Circle The Appropriate Choice: T Inspected ana touna ~n co~npiiance, NA _ Inspection Topic not applicable, N =Not Inspected, R =Inspected and Comments noted, V =Inspected ana Violations (NOV) or Cessation Order (CO) issues, B =Inspected and both Comments noted & 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 d / NA / N / R / V / B / T / S ] LCJ SIGNS AND MARKERS ................. L Y / NA / N ,Q / V / B / T / S J LCJ ............................ ROADS L Y / NA / N /~/ V / 8 / T / S ] . LCJ HYDROLOGIC BALANCE ................ L Y / NA / N /® / V / B / T / S ] LCJ .. . BACKFILL 8 GRADING L Y / NA / N / ~} / V / B / T / S ] .. ........... LC] EXPLOSIVES ........................ L Y / NA / N /® / Y / B / T / S ] LC] PROCESSING WASTES ................. L Y / N~ / N / R / V / B / T / S J LCJ SUPPORT FACILITIES ................ L Y / NA / N / ®/ Y / B / T / S J L~] .......................... TOPSOIL L Y / NA / N / ®/ V / B / T / S J . LCJ GENERAL MINE PLAN COMPLIANCE...... L Y / NA / N /~ / V / B / T / S J LCJ FISH & WILDLIFE ................... L Y / NA / N /~ / Y / B / T / S J LC] REVEGETATION L Y / NA / N /(~ / Y / B / T / S J ...................... LCJ AIR RESOURCE PROTECTION........... L m / NA / N / R / V / B / T / S J LCJ SLIDES & DAMAGE ................... L b / NA / N / R / V / B / T / S ] LCJ SUBSIDENCE ........................ L Y ~/ N / R/ Y / B / T / S ] LCJ EXCESS SPOIL & DEVELOPMENT WASTE.. L Y / NA / N ~/ V / B / T / S ] LCJ OFFSITE SUPPORT FACILITIES........ L Y / t~R / N / R / V / B / T / S ] LCJ RECLAMATION SUCCESS ............... L Y / NA / N /~/ Y / B / T / S ] LCj SPECIAL CATEGORIES aF MINING...... L Y / N~ / N / R / Y / B / T / S J (1) - - L20 (2) ------------------__ SDaces (3) -------------------- MaxJ LCJ OTHERS ............................ L Y/ NA / N/ R/ Y/ B/ 7 J (2) ~~~a -~11~~i.~-X--------- LSDaces (3) -------------------- MaxJ N07E: LCJ Required Entry.