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.- <br />PERIODIC INSPECTION FORM <br />Mater, Sediment, ar Slurry I~poundments <br />INSPECTOR' S NAME: D? u ~• : s ~~ .. ~5 DATE: l ~ - I I ' S S <br />N.P.O.E.S. I.D. NO.: <br />V <br />FACILITY CQNFIGUtATION: Cross-Valley Pond DATE LAST INSPECTION: R'-y-sJ 5 <br />SITE NAME: Cnuth Sertinn 19 Pn d Hnn4 LOCATION: SW>wSEk. Ser. 12, TSN, R87W <br />MINE NAME: Sanara TT Mine (Peahn y C.n 1 Cnmoanvl LOCATION: 7.1 mi. SE of Havden. CO <br />MINE I.D. NO.: f.MIRR Permit Nn_ C.-nnS-RO OWNER'S REP.: Don Zulian. Suot. <br />Circle ar mite in approxriate resoanse <br />1. Foundation preparation (removal of vegetation, stumps, topsoill) Ye No <br />2. Lift thickness (inches) _12_ inches <br />3. Compaction according to approved plan Yes No <br />4. Burning (specify extent and location) NiA YX~9t~(XXi1l9( <br />5. •Angle of slOpe~dcgrew~ 5r1 u~tream,~~l downstream. total = Z;,1~ <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes Yes o ~ <br /> At isolated points on embankment s open Yes <br /> At natural hillside Yes <br /> Over widespread areas Yes <br /> From downstream founds ion area Yes <br /> "Bails" beneath stream or ponde water Yes o <br />7. Cracks or scarps on crest Yes Quo '• <br />8. Cracks or .s carps on slope Yes (~.' <br />9. Sloughing or bulging on slope Yes to <br />10. *Ma~or erosion problems Yes d~ <br />11. Surface movements in valley bottom or on hillside Yes to <br />12. *Erosion of toe Yes <br />13. *Water impounded against toe Yes <br />14. Existing embankment freeboard (feet) ct9 ~. ~Xt~l%a..est ~~.~ ~ feet <br />15. ~~ Increase Decrease in water level (feet) o c S feet <br />16. Cracks, bulging, or erosion on upstream face Yes ®o <br />17. Visible sumps or sinkholes in slurry surface N/A k~(XJNb <br />18. *Clogging <br /> Spillway channels and pipes Yes <br /> Decant system Yes No <br /> Diversion ditc es Yes o <br />19. *Cracking or crushing of pipes <br />Spillway pipes Yes NCO <br />Decant system Yes <br />20. Trash racks clear and in place N/A XSKXXNN <br />*Ma,lor adverse changes in these items could caus~d!!tR'Mt~NRt should be reported to <br />the Engineering Manager and Mine Superintende ation. Adverse condi- <br />tions noted in these items should normally be location, volume, etc.) <br />in the space on the back of this sheet. <br />JAN 2 3 '1986 <br />..qua. ~ •un ecri ANOTIAN <br />