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For the Follow Entries, Circle the Appropriate C rroice: 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 / ®/ R / V / NA [C] SIGNS AND MARKERS .................... ..... Q / N / R / V / NA [C] ROADS ................................ ..... ~ / N / R / V / NA [C] HYDROLOGIC BALANCE ................... ..... Y / N / OR / V / NA [C] BACKFILL 8 GRADING ..................... ..... YO ( N I R ! V / NA [C] EXPLOSIVES ............................ ..... Y / N / R / V / [C] PROCESSING WASTE ..................... ..... Y / N / R / V / Pl [C] SUPPORT FACILITIES ..................... ..... Y / N / R / V / [Cj TOPSOIL ............................... ..... Y / N / R / V / ©A [C] GENERAL MINE PLAN COMPLIANCE .......... ..... YO / N / R / V / NA [C] FISH & WILDLIFE ......................... ..... Y / N / ~ / V / NA [C] REVEGETATION ......................... ..... O ! N ! R ! V f NA [C] AIR RESOURCE PROTECTION .............. ..... Y / N / R / V / [C] SLIDES 8 DAMAGE ....................... ..... Y / N / R / V / IJ~A [C] SUBSIDENCE ............................ ..... Y /~N / R / V / NA [C] EXCESS SPOIL & DEVELOPMENT WASTE ..... ..... ~Y / N / R / V / NA [C] OFFSITE SUPPORT FACILITIES .............. ..... Y / N / R / V / [C] RECLAMATION SUCCESS .................. ..... ~ / N / R / V / NA [C] SPECIAL CATEGORIES OF MINING ........... ..... Y / N / R / V / ~N ,, (2) - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - [C] OTHERS .................................... Y / N / R / V / (~) -----------------J-- (2) - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - -