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Q <br />Z <br />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />Inspector's Name: 110 .0-70W <br />Pond ID No.: 1211 -Co-nq-mR6-03 <br />Facility Configuration: VII <br />Site Name: POND "A" <br />Mine Name: FOIDEL CREEK MINE <br />Mine ID No.: 05-03836 <br />Date: <br />Field Hazard Classificatio (FHC : <br />Date of Last Inspection: y rc <br />Location: 25 MILES SOF <br />Location: STEAMBOAT SPRINGS, CO <br />Owner's Rep.: JERRY NETTLETON <br />Circle or write In appropriate response <br />,1_ Fnundetionprepa[;3tion (ternovalofavegetation, stumps.. topsoil) <br />_Yes <br />No <br />11. <br />Surface movements in valley bottom or on hillside <br />_Yes Ae�lo <br />2. Li ftthfaknewlhches)-- <br />_Yes <br />No <br />12. <br />"Erosion of toe <br />_Yes _&/No <br />I CompanFH4n according to.approved plan <br />Yes <br />_No <br />13. <br />'Water impounded against toe <br />Yes No <br />4. *Buming>(speGfy extent and location) <br />_Yes <br />_No <br />14. <br />Existing embankment freeboard (feet) <br />21. Feet <br />5. Angle of -slope (degree$) <br />Yes <br />No <br />15. <br />Increase Decrease in water level (feet) <br />.O Feet <br />6. 'Seepage (specify location, color, and approximate volume) <br />16 <br />Cracks, bulging, or erosion on upstream face <br />_Yes _No <br />From underdrain pipes <br />Yes <br />No <br />17- <br />Visible sumps or sinkholesInslugysurface <br />-NA- .. <br />At isolated points on embankment slope <br />Yes 1640 <br />18 <br />'Clogging <br />At natural hillside <br />Yes <br />No <br />Spillway channels and pipes <br />Yes No <br />Over widespread areas <br />Yes <br />eNo <br />Decant system <br />Yes <br />From downstream foundation area <br />Yes <br />o <br />Diversion ditches <br />Yes No <br />"Boils" beneath stream or ponded water <br />Yes <br />Ao <br />19 <br />"Cracking or crushing of pipes <br />7. Cracks or scarps on crest <br />Yes <br />No <br />Spillway pipes <br />Yes OOONO <br />8. Cracks or scarps on slope <br />Yeso <br />Decant system <br />Yes No <br />9. Sloughing or bulging on slope <br />Yes <br />20. <br />Trash racks clear and in place <br />es _No <br />10. 'Major erosion problems <br />Yes <br />rNo <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 <br />WSEL �%��✓ /Ci%! <br />FREEBOARD FROM INVERT OF EMERGENCY- SPILLWAY <br />.it <br />i:\enlenvironmentallpondslmshalmshapond.xis <br />REFERENCE ELEVATION DATA - <br />2.0' on Staff Gauge= 6935.1 <br />Emergency Spillway = 6938 <br />Top of Riser Pipe = 6937.3 <br />