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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />Inspector's Name: <br />Pond ID No.: 1211 -CO -0 -03836-06 <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: 2�11lr� <br />Field Hazard Classif c tion ( HC): <br />Date of Last Inspection: QS'' 1y A-^ <br />Location: 25 MILES SW <br />Location: STEAMBOAT SPRINGS, CO <br />Owner's Rep.: JERRY NETTLETON <br />Circle or write in appropriate response <br />It Foundation preparation (removal ofcvegetation_, stumps, topsoil) <br />_Yes _No <br />11 <br />Surface movements in valley bottom or on hillside <br />_Yes _No <br />2. Llft+thicknAs (inches) <br />—Yes—No <br />12 <br />'Erosion of toe <br />_Yes _No <br />3._'CgmpancW6 according to approved plan <br />_Yes _No <br />13 <br />'Water impounded against toe <br />ZYes <br />_No <br />4. 'Burning (specify extentiand loca6onj <br />_Yes_No <br />14 <br />Existing embankment freeboard (feet) <br />Feet <br />5. Angle of slope degrees) 7_Yes <br />_No <br />15 <br />Increase Decrease in water level (feet)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. Visi1}le sumps or sinkholes in slurry,:§urfaoe. — ,� _, <br />- NA - <br />At isolated points on embankment slope <br />Yes <br />No <br />18 <br />'Clogging <br />At natural hillside <br />_Yes jkAo <br />Spillway channels and pipes <br />_Yes <br />No <br />Over widespread areas <br />Yes _A�No <br />Decant system <br />_Yes <br />_No <br />From downstream foundation area <br />_Yes <br />eNo <br />Diversion ditches <br />_Yes <br />No <br />"Boils" beneath stream or ponded water <br />Yes -No <br />19. <br />'Cracking or crushing of pipes <br />7 Cracks or scarps on crest <br />Yes PeNo <br />Spillway pipes <br />_Yes <br />_No <br />8. Cracks or scarps on slope <br />Yes <br />No <br />Decant system <br />_Yes <br />_No <br />9. Sloughing or bulging on slope <br />Yes <br />20 <br />Trash racks clear and in place <br />_ Yes <br />_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�r�dr/� eft <br />WSEL �, ���• rG LS <br />FREEBOARD FROM INVERT OF EMERGENCY SPILLWAY <br />