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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 / N / ®/ V / NA <br />[C] SIGNS AND MARKERS ............................................... ............. Y / N / ®/ V / NA <br />[C] ROADS ......................................................................... ............. Y / N / / V / NA <br />[C] HYDROLOGIC BALANCE ........................................... ............. Y / N / / V / NA <br />[C] BACKFILL & GRADING ............................................... ............. YO/ N / R / V / NA <br />[C] EXPLOSIVES ............................................................... ............. Y / N / R / V / <br />[C] PROCESSING WASTE ................................................ ............. Y / N / ®/ V / NA <br />[C] SUPPORT FACILITIES ................................................ ............. Y / N / ®/ V / NA <br />[C] TOPSOIL ...................................................................... ............. Y / N / ®/ V / NA <br />[C] GENERAL MINE PLAN COMPLIANCE ....................... ............. O/ N / R / V / NA <br />(C] FISH &WILDLIFE ........................................................ ............. ~/ N / R / V / NA <br />[C] REVEGETATION ......................................................... ............. Y / N / R / V / NA <br />[C] AIR RESOURCE PROTECTION ................................. ............. O/ N / R / V / NA <br />[C] SLIDES 8 DAMAGE ..................................................... ............. Y / N / ®/ V / NA <br />[C] SUBSIDENCE .............................................................. ............. Y / N / R / V / NA <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE .............. ............. Y / N / / V / NA <br />[C] OFFSITE SUPPORT FACILITIES ................................ ............. Y / N / R / V / <br />[C] RECLAMATION SUCCESS ......................................... ............. Y / N / RO/ V / NA <br />[C] SPECIAL CATEGORIES OF MINING .......................... ............. Y / N / R / V / <br />(2) - - - - - - - - - - - - - - - - - - - - <br />(3) - - - - - - - - - - - - - - - - - - <br />[C] OTHERS .................................................................................... Y / N / R / V / <br />(1) ------------------ <br />(2) --------------- <br />(3) ----------------- <br />Page 2 of 9 <br />