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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impouadmeats <br />INSPECTOR'S NAME: M~ ha 1 A av'>>a DATE: 12/22/97 <br />NPDES I.D. NO.: CO-0000221 D.P. 002 <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTION: 09/25/97 <br />SITE NAME: Wadge impoundment #002 LOCATION: NW~~~ Sec. 34 T6N R87W <br />MINE NAME: Seneca 22 Mine (e n a oaf -off LOCATION: 7.1 m;, cF of Hayden, CO <br />MINE I.D. NO.: - r.Rn P rm't No. -BO-OOS OWNER'S REP.: Brad Brown Gen Mqr <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yee No <br />2. Lift thickness: in. / <br />3. Compaction according to approved plan: Yes No <br />4. Burning (specify extent and location): Yes No <br />5. Angle of slope: upstream, downstream Total = N/A <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No A <br /> At isolated points on embankment slopes: Yee No N <br /> At natural hillside: Yes ® N/A <br /> Over widespread areas: Yes No N/A <br /> From downstream foundation area: Yes No ~QCTA> <br /> "Boils" beneath stream or ponded water: Yee No N A <br />7. Cracks or scarps on treat: Yea No <br />8. Cracks or scarps on slope: Yea No <br />9. Sloughing or bulging on elope: Yes No /A <br />10. *Major erosion problems: Yea No N/A <br />11. Surface movements in valley bottom or on hillside: Yee No N/A <br />12. *Eroaion of toe: Yes No <br />13. *Water impounded against toe: Yea No <br />14. Existing embankment freeboard: See com_menta N~/A feet <br />15. Increase Decrease in water level: No change feet <br />16. Cracks, bulging, or erosion on upstream face: Yee No /A <br />17. Visible sumps or sinkholes in slurry surface: Yes No N/A <br />18. *Clogging <br /> Spillway channels and pipes: Yes 0 N A <br /> Decant system: Yes No A <br /> Diversion ditches: Yee No N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yee ~ N A <br /> Decant system: Yee No /A <br />20. Trash racks clear and in place: Yes No N/A <br />*Major adverse changes in these items could cause instability and should be reported to the <br />Engineering Manager and Mine Superintendent for further evaluation. Adverse conditions noted <br />in these items should normally be described (extent, location, volume, etc.) in the apace on <br />the back of this sheet. <br />