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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 Nat Applicable <br />GENERAL INSPECTION TOPICS: <br />[Cl AVAILABILITY OF RECORDS ....................................... ................ Y /~ / R / V / NA <br />[C] SIGNS AND MARKERS ................................................... ................ Y / O/ R / V / NA <br />[C] ROADS .............................................................................. ................ OY / N / R / V / NA <br />[C] HYDROLOGIC BALANCE .............................................. .............._ Y / N /®/ V / NA <br />[C] BACKFILL & GRADINC ................................................. ................ Y / N /®/ V / NA <br />[C] EXPLOSIVES .................................................................... ................ Y / NO/ R / V / NA <br />(C] PROCESSING WASTE ..................................................... ................ Y / N / R / V / N~ <br /> <br />[C) SUPPORT FACILITIES .................................................... ................ Y / ©/ R / V / NA <br />[C] TOPSOIL ........................................................................... ................ Y /ON / R / V / NA <br />[C) GENERAL MINE PLAN COMPLIANCE ........................ ................ OY / N / R / V / NA <br />[C] FISH &WILDLIFE ............................................................ ................ Y / ©/ R / V / NA <br />[C] REVEGETATION ............................................................. ................ YO / N / R / V / NA <br />[C] AIR RESOURCE PROTECTION ...................................... ................ Y / ©/ R / V / NA <br />[C] SLIDES &DAMAGE .........................................._............. ............... Y / N / ®/ V / NA <br />[C] SUBSIDENCE .................................................................... ............... Y / N / R/ V 1 <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE ................. ............... Y / N / R / V / <br />[C] OFFSITE SUPPORT FACILITIES ..................................... ............... Y / N / R / V / <br />[C] RECLAMATION SUCCESS .............................................. ............... Y / NO/ R / V / NA <br />(C] SPECIAL CATEGORIES OF MINING ............................. ............... Y / N / R / V / /NBA <br />[l] ---------- <br />~3] ---------- <br />[C] OTHERS ............................................................................................ Y / N / R / V / <br />(I] ------------ <br />(3~------------------- <br />Page _2_ of -5_ Pages, (date) t 1115!02 , (initials) ihb <br />