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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: CC] AVAILABILITY OF RECORDS .............................. Y / ON / R / V / NA CC] SIGNS ANO h1ARKERS .................................... Y ! N ( OR ! V ! NA CC] ROADS ................................................ Y / N / R / V / NA CC] HYDROLOGIC BALANCE ................................... Y / N / OR / V / NA CC] BACKFILL & GRADING ................................... Y / N / R / V / NA CC] EXPLOSIVES ........................................... Y / N / R / V / NA CC] PROCESSING WASTE ..................................... Y / N / R / V / NA CC] SUPPORT FACILITIES ................................... Y / N / R / V / CC7 TOPSOIL .............................................. Y ! N ! R ( V ! ©A CC] GENERAL MINE PLAN COMPLIANCE ......................... Y / N / R / V / NA CC] FISH & WILDLIFE ...................................... Y / ON / R / V / NA CC] REVEGETATION ......................................... Y / N / O / V / NA CC] AIR RESOURCE PROTECTION .............................. Y / N / R / V / NA IC] SLIDES & DAMAGE ...................................... Y / NO / R / V / NA CC] SUBSIDENCE ........................................... Y / N / R / V / NA CC] EXCESS SPOIL & DEVELOPMENT WASTE ..................... Y ( N / R / V / NA CC] OFFSITE SUPPORT FACILITIES ........................... Y / N / R / V / NA CC] RECLAMATION SUCCESS .................................. O / N / R / V / NA CC) SPECIAL CATEGORIES OF MINING ......................... Y / N / R / V / NA (1) - - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - CC] OTHERS ............................................... Y / N / R / V / (1) 2