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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry Ispouadmeats <br />INSPECTOR'S NAME: M; ha ~ Al avi lla DATE: _ 09/18/98 <br />NPDES I.D. NO.: co-0000 221 D.P. 003 <br />FACILITY CONFIGURATION: D iked Pond DATE LAST INSPECTION: 06/29/98 <br />SITE NAME: Nerthweat Impo undment i`003 LOCATION: ~~ ~W'+~~ T6N R87W <br />MINE NAME: s n a IT Min (seneca Coal Col LOCATION: 7.1 mi. sE of Hayden .~ <br />MINE I.D. NO.: CMi.Rn Perm it No_ C-80-ODS OWNER'S REP.: Brad Brown, Gen Mq~ <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: 2:1 upstream, <br />es No <br />1Z in <br />es No <br />Yee No <br />3:1 downstream Total = 5.1 <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. <br />8. <br />9. <br />10 <br />Cracks or scarps on crest: <br />Cracks or scarps on elope: <br />Sloughing or bulging on elope: <br />*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. <br />17. <br />18. <br />19 <br />20 <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 />Yee No <br />Yes <br />Yes <br />Yes o <br />Yes ( fo <br />Yee o <br />Yes No <br />Yee <br />Yee o <br />Yee No <br />Yee <br />Yee <br />Yea o <br />4.9 feet <br />_ feet <br />Yea No <br />Yee No <br />N/A <br />N/A <br />N/A <br />N/A <br />LLB <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 />Yea (~o ~ N A <br />Yes o A <br />Yee ~ N A <br />Yes ~ N A <br />Yes No /A <br />No N/A <br />*Major adverse changes in these items could cause instability and ehou ld 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 />