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For the Following Entries, Circle the Appropriate Choice: <br />Y Inspected and Found in Compliance <br />N = Not Inspected <br />R = Inspected and Comments Noted <br />V = Inspected and Violations (NOV) or Cessation Order (CO) Issued <br />NA = Inspection Topic Not Applicable <br />GENERAL INSPECTION TOPICS: <br />[C] AVAILABILITY OF RECORDS ...................... <br />Y / <br />N <br />/ <br />RO / <br />V <br />/ <br />NA <br />[C] SIGNS AND MARKERS ............................ Y / N / O / V / NA <br />[C] ROADS ........................................ Y / N / ^ <br />`x, / V / NA <br />[C] HYDROLOGIC BALANCE ........................... Y / N / R / V / NA <br />[C] BACKFILL 6 GRADING ........................... YO 1 N / R / V / NA <br />[C1 EXPLOSIVES ................................... Y / N / OR / V / NA <br />[C] PROCESSING WASTE ............................. Y / N / R / V / <br />[C] SUPPORT FACILITIES ........................... Y / N / ® / V / NA <br />ICJ TOPSOIL ...................................... YO / N / R / V / NA <br />[C) GENERAL MINE PLAN COMPLIANCE ................. Y / N / RO / V / NA <br />[C] FISH b WILDLIFE .............................. / N / R / V / NA <br />[C] REVEGETATION ................................. ~ <br />Y / N / R / V / NA <br />[C] AIR RESOURCE PROTECTION ...................... Y / N / RO / V / NA <br />[C] SLIDES 6 DAMAGE .............................. Y / N / ® / V / NA <br />(C) SUBSIDENCE ...............:................... Y / N / R / V / <br />(C] EXCESS SPOIL 6 DEVELOPMENT WASTE ............. Y / N / R / V / <br />[C] OFFSITE SUPPORT FACILITIES ................... Y / N / R / V / <br />[C] RECLAMATION SUCCESS .......................... OY / N / R / V / NA <br />[C] SPECIAL CATEGORIES OF MS.NING.....,...,.~.,,.,.. Y / N / R / V / ~® <br />(1) <br />- - - - - - - - - - - <br />- - <br />- <br />- - <br />- <br />- <br />- <br /> <br />(2) <br />(3) <br />- - - - - - - - - - - - - - - - - - - <br />[C] OTHERS ....................................... Y / N / R / V / <br />Page 2 <br />~ql <br />