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<br />~~vd~ .T ~\~S ~k. ,y ~t~HC~b.~C tid vq-ol<«w ; o~~~ <br />- ~ ~ Y PERIODIC INSPECTION FORM <br />• Yater, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: UJp~K ~5 -To i.~c~ S DATE• ~ ~ - ~ `I -~ -I <br />N.P,D.E.S. I.D. NO.: cn-nnnn~~l n_P- nre <br />FACILITY CONFIGURATION: f.rnss_Vall.ey Pond DATE LAST INSPECTION: cC'-=-~'FS~ <br />SITE NAME: Pnnd anna LOCATION: ~;,NWL. Sec. 7. T5N. R86W <br />MINE NAME: ' Canaca lT Mina (Paahndy Coal Cnmoanvl LOCATION: 7.1 mi. SE of Havden. CO <br />MINE I.D. NO .: cMiRa Parmit Nn. f.-nnS-RD OWNER'S REP.: Don Zulian- Supt. <br />Circle or vR'ite in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil7) Ye No <br />2. Lift thickness (inches) ~_ inches <br />3. Compaction according to approved plan Yes No <br />4. Burning (specify extent and location) ~N/A YX~cxX~z <br />i 5. Angle of Slope-fde~gre+N 3,1 upctraam 3 c1 dnwnstream. total = ¢~~#~• <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes N A XRRXXCJJ~ <br /> At isolated points on embankment s apes Ves ~Id <br /> At natural hillside Yes ~lo~ <br /> Over widespread areas Yes' ~~ <br /> From downstream foundation area Yes ~d <br /> "Boils" beneath stream or ponde water Yes ~ln~ <br />7. Cracks or scarps on crest Yes C-Y~ <br />8. Cracks or scarps on slope Yes CFiJ <br />9. Sloughing or bulging on slope Yes Cho <br />10. *Major erosion problems Yes Neu <br />11. Surface movements in valley bottom or on hillside Ves No <br />12. *Erosion of toe Yes <br />13. *Water impounded against toe Yes N~ <br />14. Exist <br />ing embankment freeboard (feet) ~,OU i~~; io ~Q S~y~~ ~ to c,K~ =5.` feet <br />15. / <br />~! Increase Decrease in water level (feet) yc~p o~F l~e~ si~f=- feet <br />16. Cracks, bulging, or erosion on upstream face Yes <br />17. Visible sumps or sinkholes in slurry surface N/A k'~SXXkPb <br />18. *Clogging <br /> Spillway channels and pipes ~ No <br /> Decant system N/A )J'~Q(XX'dR( <br /> Diversion ditc es N/A ~S(XNiIX <br />19. *Cracking or crushing of pipes <br /> Spillway pipes ® No <br /> Decant system N/ WY6mcXNJ~c <br />20. Trash racks clear and in place ~ es 'No <br />*Major adverse changes in these items could cause instability and should be reported to <br />the Engineering Manager and Mine Superintendent for further evaluation. Adverse condi- <br />tions noted in these items should normally 6e described (extent, location, volume, etc.) <br />in the space on the back of this sheet. <br />