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For the Following 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: [C] AVAILABILITY OF RECORDS .................. ...... Y / O/ R / V / NA [C] SIGNS AND MARKERS ....................... ..... . Y / ®/ R / V / NA [C] ROADS .................................... ...... Y / N / ®/ V / NA [C] HYDROLOGIC BALANCE ..................... ...... Y / N / ~ V / NA [C] BACKFILL 8 GRADING ....................... ...... Y / N / ®/ V / NA [C] EXPLOSIVES ............................... ...... Y / N / R / V / [C] PROCESSING WASTE ........................ ...... Y / N / R / V / [C] SUPPORT FACILITIES ........................ ...... Y / N / ~ / V / NA [C] TOPSOIL ................................... ...... Y / N / ~ / V / NA [C] GENERAL MINE PLAN COMPLIANCE ........... ...... ©/ N / R / V / NA [C] FISH & WILDLIFE ............................ ...... Y / NQ/ R / V / NA [C] REVEGETATION ............................ ...... Y / ®/ R / V / NA [C] AIR RESOURCE PROTECTION ................ ...... ®/ N / R / V / NA [C] SLIDES 8 DAMAGE .......................... ...... Y / N /®/ V / NA [C] SUBSIDENCE ............................... ...... Y / fd / R / V / NA [C] EXCESS SPOIL & DEVELOPMENT WASTE ....... ...... Y / N / RQ/ V / NA [CJ OFFSITE SUPPORT FACILITIES ................ ...... Y / ®/ R / V / NA [C] RECLAMATION SUCCESS .................... ...... Y / N /®/ V / NA [C] SPECIAL CATEGORIES OF MINING ............. ...... Y / N / R / V / NA (1) - - - - - - - - - - - - - - - - - - - - (2) - - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - - [C] OTHERS ................................... ...... Y / N / ®/ V / NA (1) ___L o 11L~-L~ E ~ o LZ--------- (2) - - - - - - - - - - - - - - - - - - - - (3) - - - - - - - - - - - - - - - - - - - -