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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Michael A7tavilla DATE: _ 12/20%Q9 <br />NPDES I.D. NO.: CO-0000 221 D.P. 005 <br />FACILITY CONFIGURATION: C roea-Val y Pond DATE LAST INSPECTION: 09/23/99 <br />SITE NAME: Pond f005 LOCATION: NW's cWlf ceyr. i0 TcN R88W <br />MINE NAME: Seneca 77-W Mi ne ,~c n a -oal 01 LOCATION: R mi. 5 of Ham den CO <br />MINE I.D. NO.: CMT.R^ Perm it Ne_ C-82-057 OWNER'S REP.: Hrad Rrewn. Can Mgr <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />0. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />Foundation preparation (removal of vegetation, stumps, topsoil: <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 3_sc1 upstream, <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 />2.c•1 downstream <br />+Seepage (specify location, color, and approximate volume) <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 />+Eroeion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: A~nroximately <br />Increase Decrease in water level: No change <br />Cracks, bulging, or erosion on upstream face: <br />17. Visible sumps or sinkholes in slurry surface: <br />le. <br />19 <br />*Clogginq <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />*Crackinq or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />zo <br />Trash racks clear and in place: <br />es No <br />~~ in <br />Yee No <br />Yes No <br />Total = 6e1 <br />Yes No <br />Yea <br />Yea <br />Yea ~Nd~ <br />Yee `Cx+y~,' <br />Yee ]~ <br />Yee <br />Yes <br />Yee / I(mo) <br />Yee o <br />Yes to <br />Yee o <br />Yes o <br />8.4 feet <br />N/A <br />N/A <br />N/A <br />1~A <br />N/A <br />N/A <br />N A <br />NJA <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 />feet <br />Yea ® N/A <br />Yee No /A <br />Yee ~ N A <br />Yee No / <br />Yes ~ N/A <br />Yee <br />Yee No /A <br />ee No N/A <br />*Major adverse changes 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 apace on <br />the back of this sheet. <br />