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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Michael Altavit_la DATE: 03f23/99 <br />NPDES I.D. NO.: NJA <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTION: 12ftD/c8 <br />SITE NAME: mr, k Wash c ttl'nq Pond LOCATION: NW1l NP.} _cec_ 34 T6N RB7W <br />MINE NAME: c n a I M'n (c n a oal Col LOCATION: 7.1 mi. cF of Hayden,_(,O <br />MINE I.D. NO.: CDMG Permit Nn_ C-80-005 OWNER'S REP.: Brad Rrohp, Can Mgr <br />1. <br />2. <br />Foundation preparation (removal of vegetation, stumps, topsoil: <br />Lift thickness: <br />3. Compaction according to approved plan: <br />4. Burning (specify extent and location): <br />5. Angle of elope: upstream, downstream <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />At isolated points on embankment elopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />"Boils" beneath stream or ponded water: <br />7. Cracks or scarps on crest: <br />8. Cracks or scarps on elope: <br />9. Sloughing or bulging on elope: <br />10. *Major erosion problems: <br />11. Surface movements in valley bottom or on hillside: <br />12. *Eroeion of toe: <br />13. *Water impounded against toe: <br />14. Existing embankment freeboard: See comments <br />15. Increase Decrease in water level: No change <br />16. Cracks, bulging, or erosion on upstream face: <br />17. <br />18. <br />19 <br />zo. <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />ee No N/A <br />~A inches <br />Yes No <br />Yee No <br />Total = -~8 <br />Yes <br />Yee <br />Yee <br />Yee <br />Yee <br />Yes <br />Yee <br />No <br />No <br />No <br />No <br />Yee No <br />Yee No <br />Yee <br />Yee No <br />Yes No <br />Yee No <br />5.0 feet <br />N/A <br />N/A <br />N/A <br />N <br />N/A <br />N/A <br /> feet <br />Yee ~ N A <br />Yes No <br />Yes No N/A <br />Yee No <br />Yee No <br />Yes <br />Yee <br />No N A <br />No <br />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 <br />on the back of this sheet. <br />