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PERIODIC INSPECTION FORM <br />Water, Sediment, or blurry Impouadmects <br />INSPECTOR'S NAlffd: Rennie Jones DATE: 03/29/99 <br />NPDES I.D. NO.: CO-0000221 ^_P_ 004 <br />FACILITY CONFIGURATION: Croee-V~t tg~ Pond DATE LAST INSPECTION: 12/10/9H <br />SITE NAME: South c_ection 12 Pond l006 LOCATION: cWi~ cFi~ Sec_ 12 TSN R87W <br />MINE NAME: San a TT Min (c ne a oal of LOCATION: 7.1 mi. S6 o Hayden ~_ <br />MINE I.D. NO.: CML.ttn Permit No. C-BO-005 OWNER'S REP.: Hrad Brown Gen Mer <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 />la. <br />15. <br />16. <br />17. <br />18. <br />19 <br />20. <br />Foundation preparation (removal of vegetation, stumps, topsoil: <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of elope: set upstream, 2:1 downstream <br />*Seepaga (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 />_ es No <br />1Z in. <br />No <br />Yee <br />Total = 7e1 <br />Sloughing or bulging on elope: <br />*Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Eroeion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: <br />~ Increase Decrease in water level: <br />cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />*clogging <br />Spillway channels and pipes: <br />Decant eyetem: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: _ <br />Yee <br />Yee o <br />Yee <br />Yee o <br />Yea <br />Yee o <br />Yee <br />Yee <br />Yee <br />Yee <br />Yee <br />Yee o <br />Yee <br />6.3 feet <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />1_0 feet <br />Yee ©o N/A <br />Yee No <br />Yee (piL~ N/A <br />Yee y~~yl'Oi~l N/A <br />Yee N/A <br />Yea o N/A <br />Yee o N/A <br /> No N/A <br />*Major adverse changes in these items could cause instability and should be reported to the <br />Engineering Manaqer 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 />