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WILLIAMS FORK MINE WASTE PILE INSPECTION FORM <br />PILE I.D. NO. 1211- CO -09- 01370 -01 (SURFACE WASTE PILE) <br />PILE I.D. NO. 1211- CO -09- 01370 -02 (OLD NO. 9 EXCAVATION) <br />DATE/TIME: -�- (-,/ sal <br />INSPECTOR SIGNATURE: 4-ilZi , <br />INSPECTOR TITLE: �}$ (OG: 4 <br />This inspection was conducted to comply with DMG Rule 4.09.1(11). <br />this inspections was conducted to evaluate: <br />_/ A. Stability of fill (quarterly inspection) <br />MOTES: <br />B. Critical construction periods: <br />1. Removal of all organic material/topsoil <br />2. Placement of underdrainage system <br />3. Installation of surface drainage system <br />4. Placement and compaction of fill materials <br />5. Revegetation <br />Ifile:I: \EN\ENVIRONMENTAL\ EMPIRE \INSPREP \WASTEPILEFORM.DOC <br />