INSPEC26995

• Permit No: C1980003
• IBM Index Class Name: Inspection
• Doc Name: Inspection Report
• Inspection Date: 9/28/2004
• Media Type: D
• Archive: No

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
HG Mine C-80-003
28 Sept 04 ~.v
GENERAL INSPECTION TOPICS:
[C]
[C]
[C]
[C]
[C]
[C]
(C]
[C]
[C]
[C]
[C]
[C]
~ci
[C]
[C]
[C]
(c)
[C]
[C]
[C]
... Y / N / R / V / NA
(i) ----- ------------
(2) - - - - - - - - - - - - - - - - - - - -
(3) - - - - - - - - - - - - - - - - - - - -

AVAILABILITY OF RECORDS ...................................... ................. Y / ~ R / V / NA
SIGNS AND MARKERS ................................................ ................. Y / N R V / NA
ROADS ......................................................................... ................. Y / N R V / NA
HYDROLOGIC BALANCE .......................................... ................. Y / N R V / NA
BACKFILL &GRADING ............................................... ................. Y / N R V / NA
EXPLOSIVES ................................................................. ................. Y / N / R / V / NA
PROCESSING WASTE .................................................. ................. Y / N / R / V / NA
SUPPORT FACILITIES .................................................... ................. Y / N / R / V / NA
TOPSOIL ....................................................................... ................. Y N / R / V / NA
GENERAL MINE PLAN COMPLIANCE ...................... ................. Y N / R / V / NA
FISH &WILDLIFE .......................................................... ................. Y N / R / V / NA

REVEGETATION ........................................................... ................. Y / N / RO V / NA

AIR RESOURCE PROTECTION .................................... ................. YQ ' N / R / V / NA

SLIDES &DAMAGE ..................................................... ................. Y / N ~ V / NA
SUBSIDENCE ................................................................ ................. Y / N / R / V / NA
EXCESS SPOIL & DEVELOPMENT WASTE ................. ................. Y / N / R / V / NA
OFFSITE SUPPORT FACILITIES ..................................... ................. Y / N / R / V / NA

RECLAMATION SUCCESS .......................................... ................. Y / N ~ V / NA
SPECIAL CATEGORIES OF MINING .......................... ................. Y / N / R / V / NA