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PERMIT#:M-2021-068 <br /> INSPECTOR'S INITIALS:MAC <br /> INSPECTION DATE:December 9,2021 <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-----------------------------------PV (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)TOPSOU-----------------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 /> Joe Forster <br /> Jack D.Tabb,LLC <br /> 1615 Saratoga St. <br /> Antigo,WI 54409 <br /> Enclosure:Google Earth image showing site locations <br /> CC: Anonymous Complainant(contact information confidential) <br /> Amy Eschberger,DRMS at:amy.eschbergergstate.co.us <br /> Ray Rears,Central City at:Rrearsgcityofcentral.co <br /> Kimberly Kaufman,Central City at:KKaufmangcityofcentral.co <br /> Page 9 of 10 <br />