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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 / N / R / V / NA [C] ROADS ................................... ....... Y / N R / V / NA [C] HYDROLOGIC BALANCE .................... ....... Y 1 N / R V / NA [C] BACKFILL & GRADING ...................... ....... Y / N / R / V / NA [C] EXPLOSIVES .............................. ....... Y / N R / V / NA (C] PROCESSING WASTE ....................... ....... Y / N / R / V / NA [C) SUPPORT FACILITIES ....................... ....... ~ / N / R / V / NA [C] TOPSOIL .................................. ....... Y / N /~ y V / NA om ~ / [C] GENERAL MINE PLAN COMPLIANCE .......... ....... I Y y N / R / V / NA [C] FISH & WILDLIFE ........................... ....... Y / N / R / V / NA [C] REVEGETATION ........................... ....... Y / N / ~ V / NA ~ ' [C] AIR RESOURCE PROTECTION ............... ....... (Y U/ N / R / V / NA [C] SLIDES 8 DAMAGE ......................... ....... Y / N ^ ~ R 1/ V / NA [C] SUBSIDENCE .............................. ....... Y / N / R / V NA [C] EXCESS SPOIL 8 DEVELOPMENT WASTE ...... ....... Y / N / R / V / NA [C] OFFSITE SUPPORT FACILITIES ............... ....... Y ! N 1 R ! V ( NA ~ ~ [C] RECLAMATION SUCCESS ................... ....... (Y 1 N / R / V / NA [C] SPECIAL CATEGORIES OF MINING ............. ...... Y // N / R / V NA (2) - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - [C] OTHERS ................................... ...... Y / N / R / V / NA - (1) - - - - - - - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - -