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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />Inspector's Name: Date: <br />Pond ID No.: 1211 -CO -093836-04 Field Hazard Classificaatio((FHC):. <br />Facility Configuration: VII <br />Site Name: POND "D" <br />Mine Name: FOIDEL CREEK MINE <br />Mine ID No.: 05-03836 <br />Date of Last Inspection: &-.;: WAYP/C <br />Location: 25 MILES SW <br />Location: STEAMBOAT SPRINGS, CO <br />Owner's Rep.: JERRY NETTLETON <br />Circle or write in appropriate response <br />1. Foundation ipreparation (mmoval,ofavegetation, stumps, topsoil) <br />Yes <br />No <br />11. <br />Surface movements in valley bottom or on hillside <br />_Yes No <br />2. Uftthickness (inches)' •'_ <br />Yes <br />No <br />12 <br />*Erosion of toe <br />_Yes• No <br />3. Companction acxdrding to approved plan * <br />Yes <br />No <br />13, <br />*Water impounded against toe <br />Yes _No <br />4. *Buming (speCtQ nt andil"lici ; <br />Yes <br />_No <br />14. <br />Existing embankment freeboard (feet) <br />+/ Feet <br />5: Angle of slope (degrees]Yes <br />_No <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 />_Yes No <br />From underdrain pipes <br />Yes <br />No <br />47. <br />VlsibiesumpsprslnkholesInslurry stuface <br />At isolated points on embankment slope <br />Yes <br />No <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 />VeN. <br />Decant system <br />Yes __�/No <br />From downstream foundation area <br />Yes <br />No <br />Diversion ditches <br />Yes No <br />"Boils" beneath stream or ponded water <br />_Yes <br />_No <br />19. <br />*Cracking or crushing of pipes <br />7. Cracks or scarps on crest <br />Yes ✓No <br />Spillway pipes <br />Yes No <br />B. Cracks or scarps on slope <br />Yes <br />OrNo <br />Decant system <br />Y s No <br />9. Sloughing or bulging on slope <br />Yes <br />KNo <br />20. <br />Trash racks clear and in place <br />es No <br />1o. *Major erosion problems <br />Yes <br />VNo <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 7 *� <br />WSEL <br />FREEBOARD FROM INVERT OF EMERGENCY SPILLWAY <br />.'Je' its 4 lve e <br />' REFERENCE ELEVATION DATA: <br />4.0' on Staff Gauge = 6846 <br />Emergency Spillway = 6853 <br />Top of Riser Pipe = 6850.4 <br />is\en\environmental\ponds\msha\mshapond.xls <br />