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For the fo/%wing Entries, Circle the Appropriafe Choice: Y = Inspected and Found in Compliance N = Not Inspected R = Inspected and Comments Noted V = Inspected and Violations INOV) or Cessation Order (COI Issued NA = Inspection Topic Not Applicable GENERAL INSPECTION TOPICS: [C] AVAILABILITY OF RECORDS ............... ..... Y I ~ l R / V / NA ICI SIGNS AND MARKERS ................... ..... Y / N / O/ V / NA ICl ROADS ............................. ..... Y / N / ®/ V / NA lCl HYDROLOGIC BALANCE .................. ..... Y / N / ®/ V / NA fCl BACKFILL & GRADING ................... ..... Y ! N / R ! V / ICI EXPLOSIVES .......................... ..... Y / N / R / V / ICl PROCESSING WASTE ................... ..... Y / N / R / V / NA lCl SUPPORT FACILITIES .................... ..... Y / N / ~ / V / NA lCl TOPSOIL ............................ ..... Y / N / R~/ V / NA (C] GENERAL MINE PLAN COMPLIANCE ......... ..... YQ/ N / R ( V / NA [Cl FISH & WILDLIFE ....................... ..... Y~/ N / R / V / NA ICl REVEGETATION ....................... ..... (1~ / N / R / V / NA [CI AIR RESOURCE PROTECTION .............. ..... (yam / N / R / V / NA IC] SLIDES & DAMAGE ..................... ..... Y~' / N / R / V / NA ICI SUBSIDENCE ......................... ..... Y / N / R / V / ©A fCl EXCESS SPOIL & DEVELOPMENT WASTE ..... ..... Y / N / R / V / [C] OFFSITE SUPPORT FACILITIES ............. ..... Y ( N / R / V / '~ fC] RECLAMATION SUCCESS ................. ..... Y / N / R / V / ICI SPECIAL CATEGORIES OF MINING .......... ..... Y / N / R / V / ((_JA~ (11 - - - - - - - - - - - - - - - - - - - - 121 - - - - - - - - - - - - - - - - - - - - 131 !C1 OTHERS .................................. Y / N /~/ V / NA 111 ~11~L_L- R~~ a ~.~--------- 121 -------------------- 131 - - - - - - - - - - - - - - - - - - - -