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~` For the Fo/%wing 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: [Cl AVAILABILITY OF RECORDS ................ ..... Y / N / R / V / NA fC] SIGNS AND MARKERS ..................... ..... Y / N / R / V / [C] ROADS ................................ ..... ®/ N / R / V / NA [C] HYDROLOGIC BALANCE .................. ...... ~ / N I R / V / NA [C] BACKFILL & GRADING ..................... ..... ~ / N / R ( V / NA [C1 EXPLOSIVES ........................... ...... Y / N / R / V / 1~ [C] PROCESSING WASTE .................... ...... Y / N / R / V I lt~ IC] SUPPORT FACILITIES ..................... ...... Y / N / R / V / [C] TOPSOIL .............................. ...... ~ / N / R / V / NA [C] GENERAL MINE PLAN COMPLIANCE .......... ...... Y / N / R / V / I~ [Cl FISH & WILDLIFE ........................ ...... ~ / N / R / V / NA [C] REVEGETATION ......................... ...... ~ / N / R / V / NA [CJ AIR RESOURCE PROTECTION ............... ...... Y / N / R / V / N~ lC] SLIDES & DAMAGE ...................... ...... D / N / R / V / NA [Cl SUBSIDENCE ........................... ...... ©/ N / R / V / NA lC] EXCESS SPOIL & DEVELOPMENT WASTE ...... ...... Y / N / R / V / fC] OFFSITE SUPPORT FACILITIES .............. ...... Y / N / R / V / [Cl RECLAMATION SUCCESS ................. ...... ©/ N / R / V / NA [C] SPECIAL CATEGORIES OF MINING ........... ...... Y / N / R / V / 11) - - - - - - - - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - - - - - - - l3) - - - - - - - - - - - - - - - - - - - - lC] OTHERS .............................. ...... Y / N / R / V / NA I1) - - - - - - - - - - - - - - - - - - - - (21 - - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - -