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1 <br />For (ke Fol/owing Entries, Circle (lte Appropriate Choice: <br />Y = Inspected and Found in Compliance <br />N = Notlnspected <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 /OR / V / NA <br />[C] SIGNS AND MARKERS ................................................... ................ Y / N /®/ V / NA <br />[C] ROADS .............................................................................. ................ Y / N /®/ V / NA <br /> <br />[C] HYDROLOGIC BALANCE .............................................. ................ ~ / N / R / V / NA <br />[C] BACKFILL&GRADING ................................................. ................ Y / N / R / V /(R}1 <br />[C] EXPLOSIVES .................................................................... ................ Y/ N / R/ V / N <br />[C] PROCESSING WASTE ..................................................... ................ Y / N / R / V /~ <br />[C] SUPPORT FACILITIES .................................................... ................ Y / N / R / V /V- <br />[C] TOPSOIL ............................................................................ ................OY / N / R / V / NA <br />[C] GENERAL MINE PLAN COMPLIANCE ........................ ................ OY / N / R / V / NA <br />[C] FISH R WILDLIFE ........................................................... ................ (~l / N / R / V / NA <br />[C] REVEGETATION ............................................................. ................ ~xYJ / N / R / V / NA <br />[C] AIR RESOURCE PROTECTION ...................................... ................ Y / N / R / V / <br />[C] SLIDES &DAMAGE ........................................................ ................ Y / N /OR / V / NA <br />[C] SUBSIDENCE ................................................................... ................ Y / N / R / V / <br />[C] EXCESS SPOIL & DEVELOPMENT WASTE ................ ................ Y / N / R / V / <br />[C] OFFSITE SUPPORT FACILITIES .................................... ................ Y / N / R / V / ~N . <br />[C] RECLAMATION SUCCESS ............................................. ................ ~ / N / R / V / NA <br />[C] SPECIAL CATEGORIES OF MINING ............................ ................ Y / N / R / V / 1~ <br /> (I) - - - - - - - - - - - - - - - - <br /> (2) - - - - - - - - - - - - - - - - - <br /> (3) ---- ---- - -- <br />[C] OTHERS ............................................................................................ Y / N / R / V / <br />1 <br />- - - - - - - - - - - - <br />3 <br />Page -2- of -4-Pages, (date) _01 (24/01 , (initials) <br />