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PERIODIC INSPECTIUN FURM <br />' Mater, Sedlr.~t, or Slurry Impoundments <br />INSPECTOR'S NAME:~~ „~..~ ~ s ~~ ~.c~ ; <br />N.P.D.E.S. 1.D. NO.: _cn-nnnro~l n.p nn~ <br />FACILITY CONFIGURATION: Crncs-Valley Pond <br />SITE NAME; Smrth Certinn 17 Pnnd Hn07 <br />MINE NAME: ' ~,,,,Pra Ii Mine (Peahndy foal fomoanvl <br />MINE I.D. NO,; EMI RR permit Nn_ f.-rlll5-Rn <br />DATE: ~-~ 3- %5~ <br />DATE LAST INSPECTION: ~ 2 - 3 1- 5S ~ <br />LOCATION: SF!;N-rE's. Sec. 12, TSN,.. R~7W <br />LOCATION: 7.1 mi. SE of Havden, CU <br />OWNER'S REP.: Uon Zulian. Srlpt. <br />Circle or write in appropriate resparse <br />1. Foundation preparation (removal of vegetation, stumps, topsoil7) <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 ~degre~ 3.1 nnstraam 3~1 dnwnstream. total <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes <br />At isolated points on em ankment s opes <br />At natural hillside . <br />Over widespread areas <br />From downstream founda on area <br />"Boils" beneath stream or ponde water <br />7. Cracks or scarps on crest <br />H. Cracks or scarps on slope <br />9. Sloughing or bulging on slope <br />10. *Ma,)or erosion problems <br />11. Surface movements in valley bottom or on hillside <br />Ye No <br />___1Z 1 nches <br />Yes No <br />Yxec~cxx-ka <br />= 6 1 X19' <br />Yes c[~ <br />YesYes <br />Yes ~ <br />Yes f~N <br />Yes ~n <br />Yes ~ <br />Yes No <br />Yes ©o <br />Yes <br />Yes <br />Yes ~ <br />12. *Erosion of toe Yes ~o <br />13. *Water impounded against toe Yes No <br />14. Existing embankment freeboard (feet) ~04~ ~S,„',~,p r"I W.~:•le•.• > ~3=7 feet <br />15. (~ Increase Decrease in water level (feet) h~ feet <br />16. Cracks, bulging, or erosion on upstream face YesU <br />17. Visible sumps or sinkholes in slurry surface tl/A YY7tl5cXN14 <br />18. *Clogging <br /> Spillway channels and pipes Yes <br /> Decant system N/A *T-~ie• <br /> Diversion ditc es Yes iio <br />19. *Cracking or crushing of pipes <br /> Spillway pipes Yes rl <br /> Decant system N/A ~---•:P <br />20. Trash racks clear and in place ~ N <br />0 <br />*Ma Jor adverse changes in these items could cause instability and sfrould be reported to <br />the Engineering Manager and Mine Superintendent for further evaluation. Adverse condi- <br />tio ns noted in these items should normally be described (extent, location, volume, etc.) <br />in the space on the back of this sheet. <br />