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PERIODIC INSPECTION FORM: Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Jason Herden DATE: 05/21/18 <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: Diked Pond DATE LAST INSPECTION: 03/01/18 <br />SITE NAME: Upper Sump LOCATION: NW%, Sec. 3, TSN, R87W7W <br />MINE NAME: Peabody Sage Creek Mine LOCATION: 7.1 mi. SE of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-2009-087 OWNER'S REP.: Miranda Kawcak <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE: YES NO N/A <br />1 <br />Foundation preparation (removal of vegetation, stumps, topsoil: x <br />2 <br />Lift thickness = <br />3 <br />Compaction according to approved plan: x <br />4 <br />Burning (specify extent and location): X <br />5 jAngle <br />of slope:_upstream, downstream N/A <br />6 <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes X <br />At isolated points on embanckement slopes x <br />At natural hillside: X <br />Over widespread areas: X <br />From downstream foundation area: x <br />"Boils" beneath stream or ponded water. x <br />7 <br />Cracks or scarps on crest: X <br />8 jcracks <br />or scarps on slope: X <br />9 <br />Sloughing or bulging on slope: X <br />10 <br />*Major erosion problems: X <br />11 <br />Surface movements in valley bottom or on hillside: x <br />12 <br />*Erosion of toe: X <br />13 <br />*Water impounded against toe: x <br />14 <br />Existing embankment freeboard = <br />15 <br />Increase Decrease in water level: Same <br />16 <br />Cracks, bulging, or erosion on upstream face: x <br />17 <br />Visible sumps or sinkholes in slurry surface: X <br />18 <br />*Clogging <br />Spillway channels and pipes: X <br />Decant system: X <br />Diversion ditches: X <br />19 <br />*Cracking or crushing of pipes <br />Spillway pipes: X <br />Decant system: X <br />20 <br />Trash racks clear and in place: X <br />21 <br />Discharge rate (gpm) = 133 <br />*Major adverse changes in these items could cause instability and should be reported to the Engineering Manager <br />and Mine Superintendent for further evaluation. Adverse conditions noted in these items should normally be <br />described (extextent, location, volume, etc.) here: Small seep between CMP and Mine Road <br />