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<br />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) Issue d <br /> NA = Inspection Topic Not Applicable <br />GENERAL INSPECTION TOPICS: <br />[C] AVAILABILITY OF RECORDS ...................... Y / N / OR / V / NA <br />[C] SIGNS AND MARKERS ............................ YO / N / R / V / NA <br />[CI ROADS ........................................ Y / N / R / V / <br />[C] HYDROLOGIC BALANCE ........................... Y / N / R / V / <br />[C] BACKFILL & GRADING ........................... Y / N / R / V / <br />[C1 EXPLOSIVES ................................... Y / N / R / V / I <br />[C] PROCESSING WASTE ............................. Y / N / R / V / <br />i [C] SUPPORT FACILITIES ........................... Y / N / R / V / <br />IC7 TOPSOIL ...................................... Y / N / R / V / <br />[C] GENERAL MZNE PLAN COMPLIANCE ................. OY / N / R / V / NA <br />] [C] FISH & WILDLIFE .............................. OY / N / R / V / NA <br />Y [C1 REVEGETATION ................................. Y / N / OR / V / NA <br />[C] AIR RESOURCE PROTECTION ...................... Y / N / R / V / <br />[C] SLIDES & DAMAGE .............................. Y / N / RO / V / NA <br />- [C] SUBSIDENCE ................................... Y / N / R / V / N© <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE ............. Y / N / R / V / <br />(C] OFFSITE SUPPORT FACILITIES ................... Y / N / R / V / ©P <br />[C] RECLAMATION SUCCESS .......................... YO / N / R / V / NA <br />(C] SPECIAL CATEGORIES OF MINING ................. Y / N / R / V / <br />j (1) - - <br />~ (2) <br />- <br />- <br />{ (3) - <br />- <br />- <br />I IC] OTHERS ....................................... Y / N / R / V / <br />~ (1) - <br />(2) - <br />(3) <br />Page 2 <br />