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PERIODIC INSPECTION FORM <br />Watsr, Sediment, or Slurry Impoundments <br />INSPECTOR'S NRME: Michael Altavi 7la DATE: 0918/98 <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTION: 06/29/98 <br />SITE NAME: Truck Waeh Supply Pond LOCATION: NW'~~3~ Sec. 34, T6N, R87W <br />MINE NAME: R n a M'n 7 (Senena Coal Col LOCATION: 7.1 m+_ c. o Hayd~n~ <br />MINE I.D. NO.: CDMG Permit No. C-80-OOS OWNER'S REP.: Brad Brown, Gen Mqr <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: <br />2. Lift thickness: <br />3. Compaction according to approved plan: <br />4. Burning (specify extent and location): <br />5. Angle of elope: 2e1 upstream, 2:1 downstream <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />over widespread areas: <br />From downstream foundation area: <br />"Soils" beneath et ream or ponded water: <br />7. Cracks or scarps on crest: <br />B. 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: <br />16. Cracks, bulging, or erosion on upstream face: <br />17. Visible sumps or sinkholes in slurry surface: <br />18. *Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />19. *Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />20. Trash racks clear and in place: <br />es No N/A <br />~Z inches <br />No N/A <br />Yee No <br />Total = 4:1 <br />Yee No ~- <br />Yee o N/A <br />Yes No N/A <br />Yes o N/A <br />Yes o N/A <br />Yes o N/A <br />Yes ~ N/A <br />Yee No N/A <br />Yea No N/A <br />Yea No N/A <br />Yes ~ N/A <br />Yee o N/A <br />Yee o N/A <br />2.7s feet <br />0.25 feet <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Yee ~ N/A <br />Yes No N® <br />Yea ®° N A <br />Yee No A <br />Yee ~ N A <br />Yes ® N A <br />Yee No A <br />Yee 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 />