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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 10/4/88 <br />NPDES I.D. NO.: - D.P. 004 <br />FACILITY CONFIGU ~: Cross-Valley Pond DATE LAST INSPECTION: 8/10/88 <br />SITE NAME: South Section 12 Pond #004 LOCATION: SW'/.SEY., Sec.~'£, T~'~tS7A <br />MINE NAh1E: eneca ine ea ooy oa o LOCATION: i.~ mi. r o ayaen, <br />MINE I.D. N .. ermit - - OWNER'S R ., on cu pan, 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 N/A <br />5. Angle of slope: 5:1 upstream, 2:1 downstream Tota] = 7:1 N/A <br />6. *Seepage (specify location, color, and approximate volume) <br />_ _ From underdrain pipes: Yes No N/ <br /> At isolated points on em an ment s opes: Yes N A <br /> At natural hillside: Yes ~ N/A <br /> Over widespread areas: Yes QQQ111~~~ N/A <br /> From downstream foundation area: Yes ~ N/A <br /> "Boils" beneath stream or ponded water: Yes N/A <br />7. Cracks or scarps on crest: (see comments) ~e No N/A <br />8. Cracks or scarps on slope: Yes ® N/A <br />9. Sloughing or bulging on slope: Yes ® N/A <br />10. *Major erosion problems: Yes ® N/A <br />11. Surface movements in valley bottom or on hillside: Yes ® N/A <br />12. *Erosion of toe: Yes ® N/A <br />13. *Water impounded against toe: Yes ® N/A <br />14. Existing embankment freeboard: 5 feet <br />_ 15. Increase Decrease in water level: 0 feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ® N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No N/ <br />18. *Clogging <br /> Spil]way channels and pipes: Yes N/.4 <br /> Decant system: Yes ~ <br />N N/A <br /> Diversion ditches: Yes N/A <br />19. *Cracking or Crushing of pipes <br /> 5pi17way pipes: Yes N/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 rep orted to <br />the Engineering Manager and Mine Superintendent for further evaluation. Advers e con di- <br />tions noted in these items should normally be described (extent, locatio n, volume, e tc.) <br />in the space on the back of this sheet. <br />