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PERMIT #: M-1985-112 <br />INSPECTOR'S INITIALS: PSH <br />INSPECTION DATE: June 11, 2015 <br />GENERAL INSPECTION TOPICS <br />The following list identifies the environmental and permit parameters inspected and gives a categorical evahtation of each <br />RECORDS -------------------- -------------- N (FN) FINANCIAL WARRANTY-------- N (RD) ROADS------------------ N <br />(HB) HYDROLOGIC BALANCE------------- PB (BG) BACKFILL & GRADING ---------- N (EX) EXPLOSIVES--------- N <br />PROCESSING WASTE/TAILING---- N (SF) PROCESSING FACILITIES------- N (TS) TOPSOIL ---------------- N <br />GENL MINE PLAN COMPLIANCE- N (FW) FISH & WILDLIFE----------------- N (RV) REVEGETATION---- N <br />SIGNS AND MARKERS----------------- N (SP) STORM WATER MGT PLAN---- N (SB) COMPLETE INSP---- N <br />OVERBURDEN/DEV. WASTE--------- N (SC) EROSION/SEDIMENTATION--- N (RS) RECL PLAN/COMP-- N <br />T) ACID OR TOXIC MATERIALS------- N (OD) OFF-SITE DAMAGE ---------------- N (ST) STIPULATIONS------- N <br />Y = Inspected and found in compliance / N = Not inspected / NA = Not applicable to this operation / PB = Problem cited / PV = Possible violation cited <br />Inspection Contact Address <br />Mr. Doug Derr <br />Loloff Construction, Inc <br />610 Balsam <br />Greeley, CO 80631 <br />Enclosure — Inspection Map <br />Cc: Wally Erickson, DRMS <br />John Vazquez, Loloff Construction, Inc. <br />J.C. York, J&T Consulting, Inc. (by email) <br />Clarence Lopez, Residence owner contact (by email) <br />Page 5 of 5 <br />