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<br />PERIODIC INSPECTION FORM <br />Stockponds or Sumps <br />INSPECTOR'S NAME: Roy Karo <br />FACILITY CONFIGURATIO Stockpond <br />SITE NAME: ® T--~ <br />MINE NAME: 1Vt/ <br />MINE I.D. NO.: <br />DATE: ~o/i~/oy <br />DATE LAST fNS PECTION: _~//r//~/ <br />LOCATION: _ "t`2Z000 S38~oo0 ~^ <br />LOCATION: ~ <br />OWNER' S RE° - '~'~'~~ <br />i <br />Circle or write in appropriate response <br />1. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 N/A <br />2. *Seepage (specify location, color, and approximate volume) <br /> At isolated points on embankment slopes: Yes N/A <br /> At natural hillside: Yes N N/A <br /> Over widespread areas: Yes N N/A <br /> From downstream foundation area: Yes No N/A <br /> "Boils" beneath stream or ponded water: Yes No N/A <br />3. Cracks or scarps on crest: Yes No N/A <br />4. Cracks or scarps on slope: Yes No N/A <br />S. Sloughing or bulging on slope: Yes No N/A <br />6. *Major erosion problems: Yes No N/A <br />7. Surface movements in valley bottom or on hillside: Yes No N/A <br />8. *Erosion o£ toe: Yes No N/A <br />9. *Water impounded against downstream toe: Yes N/A <br />10. Existing embankment freeboard: feet <br />11. Increase Decrease in water level: feet <br />12. Cracks, bulging, or erosion on upstream face: Yes N/A <br />13. Spillway erosion: Yes No N/A <br />14. *Clogging <br /> Spillway channels: Yes No N/A <br /> Diversion ditches: Yes N 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 <br />conditions noted in these items should normally be described (extent, location, volume, <br />etc.) in the space on the back of this sheet. <br />Comments: ~G~~~-~~L ~U/tom <br />,%~nSv/G 6N <br />9coC~ au TLFi - <br />G'~wepLeit~, ~E~EfE~ / l2ER-Dy~-a2 <br />Dom.?-~. °~soi L' sTa c,~P.c ~ .vc~28Y, <br />GT /~L d - NoT ~/SC/~2Sr.,t/~/ <br />