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PBRIODIC INSPBCTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Michael Altavilla DATE: 03/23/99 <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: rnciaed Pond DATE LAST INSPECTION: i3~y0/9~ <br />SITE NAME: Truck Wash suppj„y Pond LOCATION: NWk NE3~ Sec_ 34,_7'6N R87W <br />MINE NAME: sen a M'n rr (aeneca Coal Col LOCATION: 7.~ m:. SE of Hay1jen CO <br />MINE I.D. NO.: CDMG Permit Ne_ C-RO-OOS OWNER'S REP.: Brad Brown, Gen MQ3_ <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18. <br />19 <br />20 <br />Foundation preparation (removal of vegetation, stumps, <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />topsoil: _ ee <br />~Z <br />ee <br />Yee <br />Angle of elope: 2:1 upstream, 2:1 downstream <br />*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 />Cracks or ecarpe on treat: <br />cracks or ecarpe on elope: <br />Sloughing or bulging on elope: <br />*Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Eroaion of toe: <br />*water impounded against toe: <br />Existing embankment freeboard: see comments <br />Increase ~ Decrease in water level: <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in Blurry 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 />Total = 4e1 <br />No N/A <br />inches <br />No N/A <br />No N A <br />Yee N <br />Yee o N/A <br />Yee N A <br /> <br /> / <br />Yee o N/A <br />Yee N/A <br />Yee ® N/A <br />Yee N/A <br />Yee ~ N/A <br />Yee ® N/A <br />Yee N/A <br />Yes ~ N/A <br />Yee ~~~ N/A <br />Yee ~ <br />o N/A <br />2.5 feet <br />O.t feet <br />Yee ~ N/A <br />Yea No <br />Yee N® N A <br />Yee No <br />Yee No N/A <br />Yes N® N A <br />Yee No <br />Yee No N <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 on <br />the back of this sheet. <br />