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For the Fo/%wing Entries, Circle the Appropriate Choice: Y = Inspected and Found in Compliance N = Notlnspected R = Inspected and Comments Noted V = Inspected and Violations (NOV) or Cessation Order (COI Issued NA = Inspection Topic Not Applicable GENERAL INSPECTION TOPICS: [CI AVAILABILITY OF RECORDS ............... ..... Y / NO/ R / V / NA ICI SIGNS AND MARKERS ................... ..... Y / N / ®/ V / NA ICI ROADS ............................. ..... Y / N /® / V / NA ICI HYDROLOGIC BALANCE .................. ..... Y / N /O / V / NA ICJ BACKFILL & GRADING ................... ..... Y / N / R / V / ICI EXPLOSIVES .......................... ..... Y / N / R / V / ICI PROCESSING WASTE ................... ..... Y / N / R / V / fCl SUPPORT FACILITIES .................... ..... Y / N /t~ / V / NA [C] TOPSOIL ............................ ..... Y / N /[~ / V / NA IC] GENERAL MINE PLAN COMPLIANCE ......... ..... YQ / N / R / V / NA ICI FISH & WILDLIFE ....................... ..... Y /V / R / V / NA ICI REVEGETATION ....................... ..... 0/ N / R / V / NA [CI AIR RESOURCE PROTECTION .............. ..... Y / N /~ / V / NA [CI SLIDES & DAMAGE ..................... ..... Y / N / R / V / NA IC] SUBSIDENCE ......................... ..... Y / N / R / V / NA ICI EXCESS SPOIL & DEVELOPMENT WASTE ..... ..... Y / N / R / V / NA ICI OFFSITE SUPPORT FACILITIES ............. ..... Y / N / R / V / NA [CI RECLAMATION SUCCESS ................. ..... Y / N / R / V /~ lC] SPECIAL CATEGORIES OF MINING .......... ..... Y / N / R / V / NA (1) - - - - - - - - - - - - - - - - - - - - 121 - - - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - - [CI OTHERS .................................. Y / N / ~/ V / NA Itl ~ D n/ Q- k E ~ o ~~Z- ------ (21 - - - - - - - - - - - - - - - - - - - - 131 - - - - - - - - - - - - - - - - - - - -