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