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PERIODIC INSPECTION FORM <br /> Mater. Sedi~ent, or Slurry I~poun~ents <br /> <br />INS `, <br />PECTOR'S NAME: ~ e k ~iS Flo ~~ e 5 DATE: _ a - S - b <br />S <br />N.P .D.E.S. I.D. NO.: cn-nnnn~~l n.P_ nna <br />FAC ILITY CONFIGUtATION: Cross-Valley Pond DATE LAST INSPECTION: - Z 7 -$ ~ <br />SITE NAME: Sn„th Cartinn 19 Pnnri #nn4 LOCATION: SWySEk. Sec . 12. T5N, R87W <br />MINE NAME: SanPrA iT Mina (ppahn Coal Comoanv) LOCATION: 7.1 mi. SE of Hayden, CO <br />MIN E I.D. NO.: f.MIRR Darmit Nn. C.-nnS-An OWNER'S REP.: Don Zu lian. Suot. <br /> <br /> Circle or trite in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil?) Ye No <br />2. Lift thickness (inches) ~- inches <br />3. Compaction according to approved plan Yes No <br />4. Burning (specify extent and location) NiA Yn'~(~(XXrA9; <br />5. Angle of slope ~dee~rs~ 5r1 unctream 7~1 dnwnstream. total = ~ ~~ <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes Yes <br /> At isolated points on embankment s opes Yes <br /> At natural hillside Yes <br /> Over widespread areas Yes <br /> From downstream foundation area Yes <br /> "Boils" beneath stream or ponde water Yes <br />7. Cracks or scarps on crest Yes IQ <br />8. Cracks or scarps on slope Yes <br />9. Sloughing or bulging on slope Yes 1~ <br />10. *Ma,jor erosion problems Yes 1~0 <br />11. Surface movements in valley bottom or on hillside Yes <br />12. *Erosion of toe Yes <br />13. *Water impounded against toe Yes <br />14. Existing embankment freeboard (feet) ~ ~'~.a eJ1 - .o • D ~ feet <br />15. Increase Decrease in water level (feet) G feet <br />16. Cracks, bulging, or erosion on upstream face Yes to <br />17. Visible sunps or sinkholes in slurry surface N/A k~(Xklb <br />18. *Clogging <br /> Spillway channels and pipes Yes <br /> Decant system Yes <br /> Diversion ditc es Yes <br />19. *Cracking or crushing of pipes <br /> Spillway pipes Yes <br /> Decant system Yes <br />20. Trash racks clear and in place _ _ _ N/A XS$XXN~ <br />*Ma,~or adverse changes in these items could cause instability and should be reported to <br />the Engineering Manager and Mine Superintendent for further evaluation. Adverse condi- <br />tions noted in these items should normally be described (extent, location, volume, etc.) <br />in the space on the back of this sheet. <br />