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PERIODIC INSPECTION FORM <br />Stockpoads or Sumps <br />INSPECTOR'S NAME: RO.y Xaro <br />FACILITY CONFIGURATION: Stoc pond <br />SITE NAME: T-22 <br />MINE NAME: ~ n a 7r-W <br />MINE I.D. NO.: C-R2-057 <br />DATE: 09/25/97 <br />DATE LAST INSPECTION: 0(7/2397 <br />LOCATION: ~E_'~~W3y,~ec t 0 'rsN BSBW <br />LOCATION: 8 mi S of Hayden NCO <br />OWNER'S REP.: Brad Brown can Mar <br />1. Angle of elope: 3.5:1 upstream, -~ downstream Total = 6 :1 N/A <br />2. *Seepage (specify location, color, and approximate volume) <br /> At isolated points on embankment elopes: Yes ©° N/A <br /> At natural hillside: Yee ~~ N/A <br /> Over widespread areas: Yea ~ <br />N <br />o N/A <br /> From downstream foundation area: Yee ~~ <br />~no~ N/A <br /> "Boils" beneath stream or ponded water: Yes N N/A <br />3. Cracks or scarps on crest: Yea ® N/A <br />4. Cracks or scarps on elope: Yes N/A <br />5. Sloughing or bulging on slope: Yea ~ N/A <br /> <br />6. *Major erosion problems: es No N/A <br /> <br />7. Surface movements in valley bottom or on hillside: Yes ~ N/A <br />8. *Eroaion of toe: Yee ® N/A <br />9. *Water impounded against downstream toe: Yes ~ N/A <br />10. Existing embankment freeboard: see comments 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: es No N/A <br />14. *Clogging <br /> <br /> Spillway channels: Yea ~ N/A <br /> Diversion ditches: Yea o 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 iextent, location, volume, <br />etc.) in the apace on the back of this sheet. <br />