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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br /> <br />INSPECTOR'S NAME: Tom Wainwright DATE: 09/22/92 <br />NPDES I.D. NO.: <br />FACILITY CONFIGU incised Pond DATE LAST INSPECTION: 05/27/92 <br />SITE NAME: Wad e Im oundment #002 LOCATION: NW'!. NE'!. Sec. 34 T6N R87W <br />MINE NAME: eneca the ea o y oa o LOCATION: mt. o ay en, <br />MINE I.D. N .: ermt - - OWNER'S R .: Scott Williams. Suot <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil): _ Yes 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 <br /> At isolated points on em an ment s opes: Yes No <br /> At natural hillside: Yes No N/A <br /> Over widespread areas: Yes No N <br /> From downstream foundation area: Yes o N <br /> "Boils" beneath stream or ponded wa er: Yes No N/A <br />7. Cracks or scarps on crest: Yes No /A <br />8. Cracks or scarps on slope: Yes No N A <br />9. Sloughing or bulging on slope: Yes No /A <br />10. *Major erosion problems: Yes ©o N/A <br />11. Surface movements in valley bottom or on hillside: es 1Jo N/A <br />12. *Erosion of toe: Yes No N/,4 <br />13. *Water impounded against toe: Yes No N A <br />14. Existing embankment freeboard: N/A fee t <br />15. Increase X Decrease in water level: -- fee t <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No N%A <br />18. *Clogging <br /> Spillway channels and pipes: Yes ® N/A <br /> Decant system: Yes No ~J/ <br />9~ <br /> Diversion ditches: Yes ® , <br />N/A <br />19. *Cracking or crushing of pipes <br /> Spillway Dipes: Yes No N A <br /> Decant system: Yes No U <br />20. Trash racks clear and in place: Yes No /A <br />*Major adverse changes in these items could cause instability and should be reported to <br />the Engineering I4anager 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 />