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PERMIT#:M-2020-050 <br /> INSPECTOR'S INITIALS:PSH <br /> INSPECTION DATE: October 13,2020 <br /> GENERAL INSPECTION TOPICS <br /> The following list identifies the environmental and permit parameters inspected and gives a categorical evaluation of each <br /> (AR)RECORDS-----------------------------------PB (FN)FINANCIAL WARRANTY-------- N (RD) ROADS------------------ N <br /> (HB)HYDROLOGIC BALANCE-------------N (BG)BACKFILL&GRADING----------N (EX)EXPLOSIVES--------- N <br /> (PW)PROCESSING WASTE/TAILING----N (SF)PROCESSING FACILITIES------- N (TS)TOPSOIL----------------N <br /> (MP)GENL MINE PLAN COMPLIANCE- N (FW)FISH&WILDLIFE--------------N (RV)REVEGETATION----N <br /> (SM)SIGNS AND MARKERS----------------N (SP)STORM WATER MGT PLAN---- N (RS)RECL PLAN/COMP--N <br /> (ES)OVERBURDEN/DEV.WASTE--------- N (SC)EROSION/SEDIMENTATION--- N (ST)STIPULATIONS-------N <br /> (AT)ACID OR TOXIC MATERIALS------- N (OD)OFF-SITE DAMAGE-------------N <br /> Y=Inspected/N=Not inspected/NA=Not applicable to this operation/PB=Problem cited/PV=Possible violation cited <br /> Inspection Contact Address <br /> Allyson Degroot Living Trust <br /> P.O. Box 360 <br /> Kersey, CO 80644 <br /> Enclosures—Complaint Form, Inspection Map and Is It Mining Questionnaire <br /> Ec: Jared Ebert, DRMS <br /> Certified Mail No. 7017 2400 0000 9119 0993 <br /> Return Receipt Requested <br /> Page 7 of 7 <br />