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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 12/0497 <br />NPDES I.D. NO.: CO-0000221 ^.P. 004 <br />FACILITY CONFIGURATION: ('rosy Pond_ DATE LAST INSPECTION: 09~25~97 <br />SITE NAME: South Section 12 Pond #004 LOCATION: cW~€.~ c - ~ TSN. R87W <br />MINE NAME: c n a rr Min (c n a oa of LOCATION: 7.1 mi. cF of Hayden" <br />MINE I.D. NO.: cMT.Rn Permit No. C-80-005 OWNER'S REP.: Brad Brown, Ge^ Mgt <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />20 <br />Foundation preparation (removal of vegetation, stumps, topsoil: ~ No <br />Lift thickness: 12- in <br />Compaction according to approved plan: es No <br />Burning (specify extent and location): Yea No <br />Angle of elope: 5:1 upstream, 2:1 downstream Total = 7:1 <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />"Boils" beneath stream or ponded water: <br />Cracks or scarps on crest: <br />Cracks or scarps on elope: <br />Sloughing or bulging on elope: <br />*Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: See comments <br />Increase Decrease in water level: No change <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />Yes o <br />Yee N <br />Yes N <br />Yee <br />Yes <br />Yee <br />Yee o <br />Yes No <br />Yee <br />Yee <br />Yes <br />Yea <br />Yes No <br />5.g feet <br />feet <br />Yes <br />Yes No <br />N/A <br />N~A <br />N/A <br />~A <br />N~A <br />N~A <br />N~A <br />N~A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N~A <br />Yee ~ N/A <br />Yee N N A <br />Yes No <br />Yes ® N/A <br />Yee ~ N/A <br />es No N/A <br />*Major adveree changee 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 space on <br />the back of this sheet. <br />