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For the Following Entries, Circle the Appropriate Choice: Y = Inspected and Found in Compliance N = Not Inspected R = Inspected and Comments Noted V = Inspected and Violations (NOV) or Cessation Order (CO) Issued NA = Inspection Topic Not Applicable GENERAL INSPECTION TOPICS: [C] AVAILABILITY OF RECORDS ...................... Y / N / R V / NA [C] SIGNS AND MARKERS ............................ Y / ON / R / V / NA [C] ROADS ........................................ Y / N / R / V / NA [C] HYDROLOGIC BALANCE ........................... Y / N / OR / V / NA [C] BACKFI LL & GRADING ........................... Y / N / R / V / N [C1 EXPLOSIVES ................................... Y / N / R / V / N [C] PROCESSING WASTE ............................. Y / N/ R I V / N [C] SUPPORT FACILITIES ........................... Y / N / R / V / N [C1 TOPSOIL ...................................... Y 1 N 1 R/ V / N [C] GENERAL MINE PLAN COMPLIANCE ................. Y / N / R / V / N [C] FISH & WILDLIFE .............................. Y / O / R / V / NA [C] REVEGETATION ................................. Y / N / O / V / NA [C] AIR RESOURCE PROTECTION ...................... Y / N / R / V / N [C] SLIDES & DAMAGE .............................. Y / N / R / V / N [C] SUBSIDENCE ................................... Y / N / R / V / NA [C] EXCESS SPOIL & DEVELOPMENT WASTE ............. Y / N ( R / V / NA [C] OFFSITE SUPPORT FACILITIES ................... Y / N / R / V / N [C] RECLAMATION SUCCESS .......................... Y / N / R / V / NA [C] SPECIAL CATEGORIES OF MINING ................. Y / N / R / V / N (1) - - - - - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - [C] OTHERS ....................................... Y / N / R / V / N® (1) 2