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<br />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 / O / V / NA <br />[C] SIGNS AND MARKERS .................................... n / N / R / V / NA <br />CCl ROADS ................................................ Y / N / R / V / NA <br />[C] HYDROLOGIC BALANCE ................................... Y / N / RO / V / NA <br />[C] BACKFILL & GRADING ................................... Y / N / R / V / NA <br />CC] EXPLOSIVES ........................................... Y / N / R / V / NA <br />[C] PROCESSING WASTE ..................................... Y / N / O / V / NA <br />[C] SUPPORT FACILITIES ................................... Y / N / R / V / NA <br />[C] TOPSOIL .............................................. Y / N / R / V / N <br />[C] GENERAL MINE PLAN COMPLIANCE ......................... Y / N / R / V / NA <br />[C] F[SH & WILDLIFE ...................................... O / N / R / V / NA <br />[Cl REVEGETATION ......................................... Y / N / O / V / NA <br />[C] AIR RESOURCE PROTECTION .............................. Y / N / R / V / NA <br />CC] SLIDES & DAMAGE ...................................... O / N / R / V / NA <br />CC] SUBSIDENCE ........................................... Y / N / R / V / NA <br />[C] EXCESS SPOIL 8 DEVELOPMENT WASTE ..................... Y / N / R / V / N <br />CC] OFFSITE SUPPORT FACILITIES ........................... Y / N / R / V / NA <br />[C] RECLAMATION SUCCESS .................................. O / N / R / V / NA <br />[C] SPECIAL CATEGORIES OF MINING ......................... Y / N / R / V / NA <br />(1) <br />- - - - - - - - - - - - - - - - - <br />(2) <br />- - - - - - - - - - - - - - - - - <br />(3) <br />- - - - - - - - - - - - - - - - - <br />CC] OTHERS ............................................... Y / N / R / V / NA <br />(ll <br />Page 2 <br />