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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 3/20/89 <br />NPDES I.D. NO.: - D.P. 003 <br />FACILITY CONFIGU Diked Pond DATE LAST INSPECTIO N: 15 88 <br />SITE NAME: Northwest Im oundment #003 LOCATION:SE'GSW'/.,Sec .2 ,.T N, <br />MINE NAME: eneca ine ea o y oa o LOCATION: mi. o ay en, <br />MINE I.D. N .: ermi - - OWNER'S R ,. on u ian, up . <br /> Circle or write in appropriate response i <br />1. Foundation preparation (removal of vegetation, stumps, topsoil): _ es No N/A <br />2. Lift thickness: 12 in. N/A <br />3. Compaction according to approved plan: gs No N/A <br />4. Burning (specify extent and location): Yes No <br />5. Angle of slope: 2:1 upstream, 3:1 downstream Total = 5:1 N/A <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No ~~ <br /> _ <br />At isolated points on em an ment s open: Yes N/A <br /> At natural hillside: Yes o N/A <br /> Over widespread areas: Yes o N/A <br /> From downstream foundation area: Yes o N/A <br /> "Boils" beneath stream or ponded wa er: Yes o N/A <br />7. Cracks or scarps on crest: Yes ® N/A <br />8. Cracks or scarps on slope: Yes Qo N/A <br />9. Sloughing or bulging on slope: Yes ® N/A ~ <br />10. *Major erosion problems: Yes No N/A <br />11. Surface movements in valley bottom or on hillside: Yes ~ N/A <br />12. *Erosion of toe: Yes No N/A <br />13. *Water impounded against toe: Yes ® N/A <br />14. Existing embankment freeboard: 5 feet <br />15. Increase Decrease in water level: p feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ® N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No `N/A <br />18. *Clogging <br /> Spillway channels and pipes: Yes <br /> Decant system: Yes No <br /> Diversion ditches: Yes ® N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: Yes No N% <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 <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 />