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<br />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Rov Karo DATE: 09125/95 <br />NPDES I.D. NO.: COG-850008-OOlA <br />FACILITY CONFIGURATION: Embankment Pond DATE LAST INSPECTION: 06/28/95 <br />SITE NAME: Truck Looo Pond 1 LOCATION: SEA SW y, Sec. 14. T6N. R88W <br />MINE NAME: H-G Terminal. Inc. LOCATION: 2 mi. SE of Hayden. CO <br />MINE I.D. NO.: CMLRD Permit No. C-92-081 OWNER'S REP.: Scott Williams. Gen Mgr <br />Circle or write in aoorooriate reaoonae <br />1. Burning (specify extent and location): Yes No <br />2. Angle of slope: 2.75:1 upstream, 2:1 downstream Total = 4.75:1 N/A <br />3. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No / <br /> At isolated points on embankment slopes: Yes o A <br /> At natural hillside: Yes N/A <br /> Over widespread areas: Yes N/A <br /> From downstream foundation area: Yes N/A <br /> "Boils" beneath stream or ponded water: Yes o N/A <br />4. Cracks or scarps on crest: Yes o N/A <br />5. Cracks or scarps on slope: Yes o N/A <br />6. Sloughing or bulging on slope: Yes o N/A <br />7. *Major erosion problems: Yes N/A <br />8. Surface movements in valley bottom or on hillside: Yes N/A <br />9. *Erosion of toe: Yes ~ N/A <br />10. *Water impounded against toe: Yes N/A <br />11. Existing embankment freeboard: See comments 5 feet <br />12. Increase X Decrease in water level: Aonroximately 0.5 feet <br />13. Cracks, bulging, or erosion on upstream face: Yes <br />14. Visible sumps or sinkholes in slurry surface: Yes No N/A <br />15. *Clogging <br /> Spillway channels and pipes: See comments Yes o N/A <br /> Decant system: Yes o N/A <br /> Diversion ditches: Yes o N/A <br />16. *Crackinq or crushing of pipes <br /> Spillway pipes: Yes <br /> Decant system: Yes No <br />17. Trash racks clear and in place: Yes No /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 space on <br />the back of this sheet. <br />