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For the Following Entries, Circle the Appropriate Chorce: 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 / NO/ R / V / NA [C] SIGNS AND MARKERS ....................... ...... Y /~ R / V / NA [C] ROADS ................................... ....... Y / N / R / V / t(~ [C] HYDROLOGIC BALANCE .................... ....... Y / N / R / V / [C] BACKFILL 8 GRADING ....................... ...... Y /©/ R / V / NA (C] EXPLOSIVES .............................. ....... Y / N / R / V /~ [C] PROCESSING WASTE ........................ ...... Y / N / R / V /~ [C] SUPPORT FACILITIES ........................ ...... Y / N / R / V / ©A [C] TOPSOIL .................................. ....... Y /~/ R / V / NA [C] GENERAL MINE PLAN COMPLIANCE ........... .... . . (~ / N / R / V / NA [C] FISH 8 WILDLIFE ........................... ..... . . Y / (,I / R / V / NA [C] REVEGETATION ............................ ...... Y / N /~/ V / NA [C] AIR RESOURCE PROTECTION ................ ...... Y /©/ R / V / NA [C] SLIDES & DAMAGE ......................... ....... Y /©/ R / V / NA [C] SUBSIDENCE ............................... ...... Y / N / R / V / AZ [C] EXCESS SPOIL 8 DEVELOPMENT WASTE ....... ...... Y / N / R / V / [C] OFFSITE SUPPORT FACILITIES ............... ....... Y / N / R / V / [C] RECLAMATION SUCCESS .................... ...... Y / ®/ R / V / NA [C] SPECIAL CATEGORIES OF MINING ............ ....... Y / N / R / V /~ (2) - - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - - [C] OTHERS ................................... ...... Y / N / R / V / NA (2) - - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - -