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PERIODIC INSPECTION FORM <br />- Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 5/7/90 <br />NPDES I.D. NO.: - D.P.008 <br />FACILITY CONFIGU ~: Cross-Va lev Pon DATE LAST INSPECTION: 2/19/90 <br />SITE NAME: Pond #008 LOCATIOtJ:SW'/~NW',S, Sec. 7 TSN, R W <br />MINE NAME: eneca pine ea o y oa o LOCATION: m~. ~ o ay en, <br />MINE I.D. N .. ermi~ - - OWNER'S R .. on ~u ian, uat. <br />Circle or write in appropriate response <br />1. Foundation ~preparation'(removal of vegetation, stumps, topsoil): Yes No N/A <br />2. Lift thickness: 12 in. N/A <br />3. Compaction according to approved plan: © No N/A <br />4. Burning (specify extent and location): Yes No <br />5. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 N/A <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No [~ <br /> At isolated points on emoan men s opes: Yes N/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 wa er: Yes N/A <br />7. Cracks or scarps on crest: Yes ® N/A <br />8. Cracks or scarps on slope: Yes ® N/A <br />9. Sloughing or bulging on slope: Yes ® N/A <br />10. *Major erosion problems: Yes ® N/A <br />11. Surface movements in valley bottom or on hillside: Yes ® N/A <br />12. *Erosion of toe: Yes 1~ N/A <br />13. *Water impounded against toe: Yes ® N/A <br />14. Existing embankment freeboard: 8.4 <br />- feet <br />15. Increase Decrease in water level: ~ feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ® N/A <br />17. Uisible sumps or sinkholes in slurry surface: Yes No N/ <br />18. *Clogging <br /> Spillway channels and pipes: Yes ® N/A <br /> Decant system: Yes No <br /> Diversion ditches: Yes No <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes ~ N/A <br /> Decant system: Yes o QJ~ <br />20. Trash racks clear and in place: ~e No tJ/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 condi- <br />tions noted in these items should normally be described (extent, location, volume, etc.) <br />in the space on the back of this sheet. <br />