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COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natura'Resources <br /> MINERALS PROGRAM INSPECTION REPORT <br /> PHONE: (303) 866-3567 <br /> The Division of Reclamation,Mining and Safety has conducted an inspection of the mining operation <br /> noted below. This report documents observations concerning compliance with the terms of the permit <br /> and applicable rules and regulations of the Mined Land Reclamation Board. <br /> MINE NAME: MINE/PROSPECTING ID#: MINERAL: COUNTY: <br /> Belvedere Stone Quarry M-1991-147 Limestone(general) Douglas <br /> INSPECTION TYPE: INSPECTOR(S): INSP.DATE: INSP.TIME: <br /> Monitoring Tyler V.O'Donnell June 17,2016 14:00 <br /> OPERATOR: OPERATOR REPRESENTATIVE: TYPE OF OPERATION: <br /> Belvedere Stone,LLC William Johannsen 110c-Construction Limited Impact <br /> REASON FOR INSPECTION: BOND CALCULATION TYPE: BOND AMOUNT: <br /> Normal I&E Program Complete Bond $5,000.00 <br /> DATE OF COMPLAINT: POST INSP.CONTACTS: JOINT INSP.AGENCY: <br /> NA None None <br /> WEATHER: INSPECTOR'S SIGNATURE: SIGNATURE DATE: <br /> Clear 1 U�'w0fl' July 8,2016 <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----------------------------------N (FN)FINANCIAL NN'ARR,kNI I-------- PB (RD)ROADS------------------ Y <br /> HB)HYDROLOGIC BALANCE-------------V (BG)BACKFILL&GRADING----------Y (EX)EXPLOSIVES--------- N <br /> PNV)PROCESSING WASTE/TAILING---- N (SF)PROCESSING FACILITIES------- Y (TS)TOPSOIL----------------Y <br /> (NIP)GENL MINE PLAN COMPLIANCE- V (FW)FISH &WILDLIFE----------------- V (RV) REN F.GE I A]ION---- PB <br /> (S11)SIGNS AND N►AR►iERS----------------- PB (SP)STORM WATER MGT PLAN---- N (CI)COMPLETE INSP---- Y <br /> (ES)OVERBURDEN/DEV.WASTE--------- N (SC)EROSION/SEDIMENTATION--- Y (RS)RECL PLAN/COMP--N <br /> (AT)ACID OR TOXIC MATERIALS------- t' (OD)OFF-SITE DAMAGE----------------N (ST)STIPULATIONS-------N <br /> Y=Inspected and found in compliance/N=Not inspected/NA=Not applicable to this operation/PB=Problem cited/PN"=Possible violation cited <br /> Page 1 of 7 <br />