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PERIODIC INSPECTION FORM <br />Pater. Sedi~ent, or Slurry IApoundments <br />INSPECTOR'S NAME: (~~ K w , ~ _~ o ,,~ U ~ DATE: 1 Z - I ~(- Y, <br />N.P.D.E.S. I.D. NO.: ca-nnnm~T n <br />P <br />nn <br />. <br />_ <br />FACILITY CONFIGURATION: nikad Pond DATE LAST INSPECTI ON: `~-/ 7 - ~ 7 <br />SITE NAME: Nn rthw c~TpNn~~ndmPnt H003 LOCATION: SEaSW!s, Sec. 21, T6N, R87W <br />MINE NAME: Sanaca TT Mina (paabo Coal , <br />p~anyl LOCATION: 7.1 mi. SE of Hayden, CO <br />, <br />MINE I.D. NO.: CMIRR Parmit. Nn. C-OO.r,-RO OWNER'S REP.: Don Zul ian, Suot. <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stoops, topsoil?) <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan <br />4. Burning (specify extent and location) N/A <br />5. Angle of slope {degreoE) 9c1 up.Straam 3~1 downstream. total <br />6. *Seepage (specify location, color, and approximate volone) <br />From underdrain pipes <br />At isolated points on embankment s opes <br />At natural hillside <br />Over widespread areas <br />From downstream founds ion area <br />"Boils" beneath stream or ponde water <br />7. Cracks or scarps on crest <br />8. Cracks or scarps on slope <br />9. Sloughing or bulging on slope <br />10. *Major erosion problems <br />11. Surface movements in valley bottom or on hillside <br />12. *Erosion of. toe <br />13. *Water impounded against toe <br />14. Existing embankment freeboard (feet) <br />15. Increase Decrease in water level (feet) <br />16. Cracks, bulging, or erosion on upstream face <br />17. Visible sumps or sinkholes in slurry surface N/A <br />18. *Clogging <br />Spillway channels and pipes <br />Decant system N/A <br />Diversion ditc es <br />19. *Cracking or crushing of pipes <br />Spillway pipes ~i<<~~~ ~~q~S c~vc; c.i ~..JC a <br />Decant system <br />20. Trash racks clear and in place ~~/A <br /> <br />Yes No <br />~_ inches <br />Yes No <br />X>Gkxx~~ <br />_ ~:l'~e'4reee. <br />XR7FXX~ <br />Yes <br />Yes <br />Yes o <br />Yes <br />Yes <br />© No <br />Yes <br />Yes ®o <br />Yes io <br />Yes <br />Yes I~o <br />Yes <br />5 feet <br />O feet <br />Yes No <br />XN%XXNfd <br />Yes ~i`g~ <br />Xili(XXNM <br />Yes <br />Yes No <br />R ~XXNrX <br />X~'6 x Xt{dl <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 be described (extent, location, volune, etc.) <br />in the space on the back of this sheet. <br />