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Z <br />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />Inspector's Name: r/�r: �n n °✓sz�r� <br />Pond ID No.: 1211- 0-09-03836-06 <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: d (g/�-&Ar <br />Field Hazard Classifi atio (FHC): <br />Date of Last Inspection: (9 -;V2,2—TA, <br />Location: 25 MILES SW OF <br />Location: STEAMBOAT SPRINGS, CO <br />Owner's Rep.: JERRY NETTLETON <br />Circle or write in appropriate response <br />1 : Foundation preparation (removal of vegetation, stumps, to 01D <br />_Yes _No <br />11. <br />Surface movements in valley bottom or on hillside <br />_Yes _N <br />2�LiRhiimess (inches) <br />Yes <br />No <br />12. <br />'Erosion of toe <br />Yes No <br />3. Compenction according to approved plan: <br />_Yes <br />No <br />13. <br />*Water impounded against toe <br />es _No <br />4 By,) ,{s pk_er�tentie[td location] <br />Yes <br />No <br />14 <br />Exis6n mbankment freeboard (feet) <br />y3 -Feet <br />3112lgis'sj degrees ° �. <br />Yes=N_o, <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 ✓<oo <br />From underdrain pipes <br />Yes <br />�s amps c. n sf. <br />At isolated points on embankment slope <br />Yes <br />o <br />18. <br />`Clogging <br />At natural hillside <br />_Yes <br />o <br />Spillway channels and pipes <br />_Yes 111410 <br />Over widespread areas <br />Yes <br />Decant system <br />Yes—,A- J <br />From downstream foundation area <br />Yes <br />o <br />Diversion ditches <br />Yes o <br />"Boils" beneath stream or ponded water <br />_Yes f <br />19. <br />'Cracking or crushing of pipes <br />7. Cracks or scarps on crest <br />_Yes ZNo <br />Spillway pipes <br />_Yes ✓40 <br />8. Cracks or scarps on slope <br />Yes <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 />Yes ZNo <br />10 `Major erosion problems <br />Yes <br />No <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 J �� <br />WSEL 67-x3 ' <br />FREEBOARD FROM INVERT OF EMERGENCY SPILLWAY <br />REFERENCE ELEVATION DATA' <br />1.0' on Staff Gauge= 6713.00 <br />Emergency Spillway = 6714.90 <br />Top of Embankment = 6717.00 <br />