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S 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 / f~ / R / V / NA [C] SIGNS AND MARKERS ........................ ...... Y / N / R / V / NA [C] ROADS .................................... ...... O / N / R / V / NA [C] HYDROLOGIC BALANCE ..................... ...... Y / N / ~/ V / NA [C] BACKFILL 8 GRADING ....................... ...... l~ / N / R / V / NA [C] EXPLOSIVES ............................... ...... Y / N / R / V /~ [C] PROCESSING WASTE ........................ ...... Y / N / R / V / NA [C] SUPPORT FACILITIES ........................ ...... !~Y / N / R / V / NA [C] TOPSOIL ................................... ...... Y / (~ / R / V / NA [C] GENERAL MINE PLAN COMPLIANCE ........... ...... U / N / R / V / NA [C] FISH 8 WILDLIFE ............................ ...... ~/ / N / R / V / NA [C] REVEGETATION ............................ ...... b/ N / R / V / NA [C] AIR RESOURCE PROTECTION ................ ...... Y / N / R / V / NA [C] SLIDES & DAMAGE .......................... ...... Y / N /~ V / NA [C] SUBSIDENCE ............................... ...... ~ / N / R / V / NA [C] EXCESS SPOIL & DEVELOPMENT WASTE ....... ...... Y / N / R / V / NA [C] OFFSITE SUPPORT FACILITIES ................ ...... Y / N / R / V / ©A [C] RECLAMATION SUCCESS .................... ...... ~ / 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) ---------- ---- - - - ---