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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Mictia 7 Al avilta <br />NPDES I.D. NO.: _ N/A <br />FACILITY CONFIGURATION: Incised Pond <br />SITE NAME: Spy Control Pond No. 2 <br />MINE NAME: ceneca Mine iI (senses coat Cow <br />MINE I.D. NO.: COMC Permit No. C-80-005 <br />DATE: 09/78/98 <br />DATE LAST INSPECTION: DT/29/98 <br />LOCATION: NW} NF.it Sec_ 34 T6N RR7W <br />LOCATION: 7.7 mi. cF of Hayden,s O <br />OWNER'S REP.: Brad Brown_ rPn Ma~_ <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: ® No N/A <br />2. Lift thickness: in. <br />3. Compaction according to approved plan: Yee No <br />4. Burning (specify extent and location): Yes No ©A <br />5. Angle of elope: upstream, downstream Total = <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: Yee No <br />At isolated points on embankment slopes: Yee o N/A <br />At natural hillside: Yes N N/A <br />Over widespread areas: Yee o N/A <br />From downstream foundation area: Yee o N/A <br />"Boils" beneath stream or ponded water: Yes o N/A <br />7. Cracks or scarps on crest: Yes No N/A <br />8. Cracks or scarps on elope: Yea o N/A <br />9. Sloughing or bulging on elope: Yee o N/A <br />10. *Major erosion problems: Yes ~ N/A <br />11. surface movements in valley bottom or on hillside: Yee N/A <br />12. *Eroeion of toe: Yes ~ N/A <br />13. *Water impounded against toe: Yes o N/A <br />14. Existing embankment freeboard: see comments 6.D feet <br />15. Increase Decrease in water level: ~o change feet <br />16. Cracks, bulging, or erosion on upstream face: Yee N® N/A <br />17. Visible sumps or sinkholes in Blurry surface: Yes No N/A <br />18. *Cloggin9 <br />Spillway channels and pipes: Yee No <br />Decant system: Yee No N <br />Diversion ditches: Yee ~ N/A <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yes No <br />Decant system: Yes No <br />20. Trash racks clear and in place: Yes 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 on <br />the back of this sheet. <br />