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For the Fo/%wing 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 ICO) Issued NA = Inspection Topic Not Applicable GENERAL INSPECTION TOPICS: ICI AVAILABILITY OF RECORDS ............... ..... Y /~ / R / V / NA ICI SIGNS AND MARKERS ................... ..... Y /(N J/ R / V / NA ICI ROADS ............................. ..... Y / N / R / V / NA ICI HYDROLOGIC BALANCE .................. ..... Y / N / O / V / NA (CI BACKFILL & GRADING ................... ..... Y / N / R / V / NA ICl EXPLOSIVES .......................... ..... Y / N ! R / V / NA fCl PROCESSING WASTE ................... ..... Y /O / R / V / NA ICI SUPPORT FACILITIES .................... ..... Y /O / R / V / NA [Cl TOPSOIL ............................ ..... Y / N / ~ / V / NA [C] GENERAL MINE PLAN COMPLIANCE ......... ..... Y / Q / R / V / NA IC] FISH & WILDLIFE ....................... ..... Y iQl R / V / NA ICI REVEGETATION ....................... ..... Y /Q/ R / V / NA lC] AIR RESOURCE PROTECTION .............. ..... Y /O / R / V / NA [Cl SLIDES & DAMAGE ..................... ..... Y / Q / R / V / NA fC1 SUBSIDENCE ......................... ..... Y / N / R / V / NA [C] EXCESS SPOIL & DEVELOPMENT WASTE ..... ..... Y ~ / R / V / NA IC] OFFSITE SUPPORT FACILITIES ............. ..... Y / N / R / V / NA fCl RECLAMATION SUCCESS ................. ..... Y /~/ R / V / NA lC] SPECIAL CATEGORIES OF MINING .......... ..... Y / N / R / V / NA 1~1 - - - - - - - - - - - - - - - - - - - - 12) - - - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - - ICI OTHERS .................................. Y / N / R / V / NA 111 - - - - - - - - - - - - - - - - - - - - 121 - - - - - - - - - - - - - - - - - - - - (31 - - - - - - - - - - - - - - - - - - - - 1