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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Tones DATE: 10/17/89 - <br />NPDES I.D. NO,: DUO' D.P. 004 <br />FACILITY CO NFIG Cross-Valley Pond DATE LAST INSPECTION: 8/3/89 <br />SITE NAME: South Section 12 Pond H004 LOCATION:SW9,SE'/,, Sec.T2-T5R-R87~] <br />MINE NAME: eneca ine ea o y oa o LOCATION: mi. ~~ or ay en, <br />MINE I.D. N ,. ermi - - OWNER'S R .. on u tan, uot. <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil): _ ~ No N/A <br />2. Lift thickness: 12 in. N/A <br />3. Compaction according to approved plan: es No N/A <br />4, Burning (specify extent and location): Yes No rJ/A <br />5. Angle of slope: 5:1 upstream, 2:1 downstream Total = 7:1 N/A <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes N/A <br /> At isolated points on em an men s opes: Yes N N/A <br /> At natural hillside: Yes N/A <br /> Over widespread areas: Yes N/A <br /> From downstream foundation area: Yes N N/A <br /> "Boils" beneath stream or ponded wa er: Yes N/A <br />7. Cracks or scarps on crest: Yes Q N/A <br />8. Cracks or scarps on slope: Yes N~ N/A <br />9. Sloughing or bulging on slope: Yes ® N/A <br />10. *Major erosion problems: Yes N~ N/A <br />11, Surface movements in valley bottom or on hillside: Yes ® N/A <br />12, *Erosion Of toe: Yes N~ N/A <br />13, *Water impounded against toe: Yes N~ N/A <br />14. Existing embankment freeboard: 5 feet <br />15. Increase Decrease in water level: ~ feet <br />16. Cracks, bulging, or erosion on upstream face: _ <br />Yes ~ N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No <br />18. *Clogging <br /> Spillway channels and pipes: Yes N N/A <br /> Decant system: Yes N N/A <br /> Diversion ditches: Yes N/A <br />19, *Cracking or crushing of pipes <br /> Spillway pipes: Yes N rr/A <br /> Decant system: Yes N/A <br />20. Trash racks clear and in place: ®e No N/A <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, volume, etc.) <br />in the space on the back of this sheet. <br />