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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 ..................... .......... Y / N / (R~ / V / NA <br />[C] SIGNS AND MARKERS ........................... .......... Y / N / t}g(J / V / NA <br />CC] ROADS ....................................... .......... Y / N / ® / V / NA <br />[C] HYDROLOGIC BALANCE .......................... .......... Y / N / ~ / V / NA <br />[C] BACKF[LL 8 GRADING .......................... .......... Y / N / R / V / <br />[C7 EXPLOSIVES .................................. .......... Y / N / R / V / <br />[C] PROCESSING WASTE ............................ .......... Y / N / R / V / <br /> <br />[C] SUPPORT FACILITIES .......................... .......... © / N / R / V / NA <br />[Cl TOPSOIL ..................................... .......... YO / N / R / V / NA <br />[C] GENERAL MINE PLAN COMPLIANCE ................ .......... YO / N / R / V / NA <br />CC] FISH 8 WILDLIFE ............................. .......... YO / N / R / V / NA <br />[C] REVEGETATION ................................ .......... (P1 / N / R / V / NA <br />[C] AIR RESOURCE PROTECTION ..................... .......... t}yJ( / N / R / V / NA <br /> <br />[C] SLIDES & DAMAGE ............................. .......... © / N / R / V / NA <br />CC] SUHSIDENCE .................................. .......... Y / N / R / V / <br />[C] EXCESS SPOIL 8 DEVELOPMENT WASTE ............ .......... Y / N / R / V / <br />[C7 OFFSITE SUPPORT FACILITIES .................. .......... Y / N / R / V / <br />[C] RECLAMATION SUCCESS ......................... .......... Y / N / R / V / <br />[C] SPECIAL CATEGORIES OF MIN[NG ................ .......... Y / N / R / V / <br /> (ll <br />-- -- <br />- - <br />- <br />- <br /> (2) <br />--------- ----- - -- - - - <br /> (3) <br />[C] OTHERS ................................................ Y / N / ® / V / NA <br />(1) S A E s <br />- ------------- <br />(2) - - - - - - - - - - - - - - - - - <br />(3) <br />Page 2 <br />