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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Ron Gehrke <br />NPDES I D NO - D P 003 <br />DATE: 10/20/90 <br />FACILITY CONFIG Diked Pond DATE LAST INSPECTION: 7/25/90 <br />SITE NAME: Northwest Im oundment #003 LOCATION:SE'hSW'(~,Sec. ,.T~~ <br />MINE NAME: eneca ine ea o y oa o LOCATION: mi, o ay en, <br />MINE I.D. N .: _ ermi - - OWNER'S R .. on u ion, up . <br />Circle or write in appropriate response <br />1, <br />2. <br />3. <br />4. <br />5. <br />6. <br />Foundation preparation (removal of vegetation, stumps, topsoil): _ es No <br />Lift thickness: 12 in. <br />Compaction according to approved plan: Yes No <br />Burning (specify extent and location): Yes No <br />Angle of slope: 2:1 upstream, 3:1 downstream Total = 5:1 <br />*Seepage (specify location, color, and approximate volume) <br />___ From underdrain pipes: <br />At isolated points on em an ment s opes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />"Boils" beneath stream or ponded wa er: <br />Yes No <br />Yes No <br />Yes o' <br />Yes <br />Yes <br />Yes N <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />L9~ <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />7. Cracks or scarps on crest: Yes (Cld N/A <br />8. Cracks or scarps on slope: Yes ® N/A <br />9. Sloughing or bulging on slope: Yes JL~ 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: q,g 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/A' <br />18. *Clogging <br /> Spillway channels and pipes: Yes <br /> Decant system: Yes No ~[/ <br />~ <br /> Diversion ditches: Yes l~a , <br />N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes o N/A <br /> Decant system: (~e o <br />20. Trash racks clear and in place: Yes 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 />