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Q J <br />Z 1 <br />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />Inspector's Name: '0 �-41 <br />Pond ID No.: 1211 -CO -09- 3836-06 <br />Facility Configuration: VII <br />Site Name: 6MN MINE WATER RESV. <br />Mine Name: FOIDEL CREEK MINE <br />Mine ID No.: 05-03836 <br />Date: or ' <br />Field Hazard Classification HCr <br />Date of Last Inspection: 4 <br />Location: 25 MILES SW O <br />Location: STEAMBOAT SPRINGS, CO <br />Owner's Rep.: JERRY NETTLETON <br />Circle or write in appropriate response <br />1„ Foyrldatlon p-MparaUott (reriLgyW o_fAegetation, stuMps, topsoil) <br />_Yes <br />_No <br />11. <br />Surface movements in valley bottom or on hillside <br />No <br />2', Lift thickness (Inches) <br />3. GomQenctton according to approved plan <br />_Yes <br />Yes <br />_No <br />_No <br />12. <br />13. <br />'Erosion of toe <br />*Water impounded against toe <br />_Yes <br />_Yes No <br />Yes No <br />4. 'Bum.ng (k9epjiy extent agdLPoc J on) <br />_Yes.�No <br />14. <br />Existing embankment freeboard (feet) <br />Feet <br />5. Anglex'f gpgree) <br />_Yres <br />iVo <br />15. <br />Increase Decrease in water level (feet) <br />Feet <br />6. 'Seepage (specify location, color, and approximate volume) <br />16. <br />Cracks, bulging, or erosion on upstream face <br />Co <br />From underdrain pipes <br />_Yes <br />_ 0W. <br />1lt.. I I sUrfrps or slrakho,es in slurry dare <br />_Yes <br />-NA,- <br />At isolated points on embankment slope <br />_Yes <br />_No <br />18 <br />`Clogging <br />At natural hillside <br />_Yeso <br />Spillway channels and pipes <br />No <br />Over widespread areas <br />_Yes <br />_No <br />Decant system <br />_Yes <br />VNo <br />From downstream foundation area <br />_Yes <br />_No <br />Diversion ditches <br />_Yes <br />No <br />"Boils" beneath stream or ponded water <br />_Yes <br />VNo <br />19. <br />*Cracking or crushing of pipes <br />_Yes <br />7. Cracks or scarps on crest <br />_Yes <br />VNo <br />Spillway pipes <br />_Yes LNo <br />B. Cracks or scarps on slope <br />_Yes <br />No <br />Decant system <br />9. Sloughing or bulging on slope <br />_Yes <br />Jun <br />20. <br />Trash racks clear and in place <br />_Yes _ <br />No <br />10. `Major erosion problems <br />Yes <br />IN. <br />_Yes <br />Major adverse changes in these items could cause instability and should be reported to the District Manager for further evaluation. Adverse <br />conditions noted in these items should normally be described (extent, location, volume, etc.) in the space below and on the back of this sheet. <br />Inspection Category <br />14 <br />Comments <br />STAFF GAUGE t/j 1fj <br />WSEL Znow�wr <br />FREEBOARD FROM INVERT OF EMERGENCY SPILLWAY <br />