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PERMIT #: M -1980 -012 <br />INSPECTOR'S INITIALS: DB2 <br />INSPECTION DATE: 22 September 2011 <br />GENERAL INSPECTION TOPICS <br />The following list identifies the environmental and permit parameters inspected and gives a categorical evaluation of each <br />(AR) RECORDS <br />(HB) HYDROLOGIC BALANCE <br />Y (FN) FINANCIAL WARRANTY <br />Y (BG) BACKFILL & GRADING- <br />(PW) PROCESSING WASTE /TAILING - - -- NA (SF) PROCESSING FACILITIES <br />(MP) GENL MINE PLAN COMPLIANCE- Y (FW) FISH & WILDLIFE <br />(SM) SIGNS AND MARKERS <br />(ES) OVERBURDEN/DEV. WASTE <br />(AT) ACID OR TOXIC MATERIALS <br />NA (RD) ROADS <br />Y (EX) EXPLOSIVES <br />Y (TS) TOPSOIL <br />Y <br />NA <br />Y <br />Y (RV) REVEGETATION - - -- Y <br />Y (SP) STORM WATER MGT PLAN - - -- Y (SB) COMPLETE INSP - - -- Y <br />NA (SC) EROSION /SEDIMENTATION - -- Y (RS) RECL PLAN /COMP -- Y <br />NA (OD) OFF -SITE DAMAGE Y (ST) STIPULATIONS NA <br />Y = Inspected and found in compliance / N = Not inspected / NA = Not applicable to this operation / PB = Problem cited / PV = Possible violation cited <br />Inspection Contact Address <br />David Kintz <br />Park County Road & Bridge <br />P.O. Box 147 <br />Fairplay, CO 80440 <br />Page 6 of 6 <br />