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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Ron Gehrke DATE: 11/21/91 <br />NPDES I.D. NO.: - <br />FAC ILITY CONFIGU Incised Pond DATE LAST INSPECTION: 08/01/91 <br />SIT E NAME: Wad e Im oundment #002 LOCATION: N~/~ NE'/< Sec. 34 T6N R87W <br />MIN E NAME: eneca one ea o y oa o LOCATION: mi. o a y en, <br />MIN E I.D. N .: ermit - - 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. /A <br />3. Compaction according to approved plan: Yes No N/ <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 N/A <br /> Over widespread areas: Yes ~ <br />o N <br /> From downstream foundation area: Yes o N <br /> "Boils" beneath stream or ponded wa er: Yes to N/A <br />7. Cracks or scarps on crest: Yes No /A <br />8. Cracks or scarps on slope: Yes No <br />9. Sloughing or bulging on slope: Yes No /A <br />10. *Major erosion problems: Yes No N/A <br />11. Surface movements in valley bottom or on hillside: es No 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 feet <br />15. Increase X Decrease in water level: 1-0 feet <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 ©o N/A <br /> Decant system: Yes No 1~A~ <br /> Diversion ditches: Yes N~ iJ/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N A <br /> Decant system: Yes No A <br />20. Trash racks clear and in place: Yes No 1/~ <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 />