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oC{;~I'V~b <br />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments VCI ~ O 199Yi <br />INSPECTOR'S NAME: Michael Al av'71w DATE: _ 09/25/97 ri"~~Ge9lomy <br />NPDES I.D. NO.: CO-0000727 D_P. OD <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTION: 06/27/97 <br />SITE NAME: WadSje Imnound_ment 1002 LOCATION: Nwk NF.i, ctn. _3_4 T6N R87W <br />MINE NAME: sen a Ir M'ne (c n a -oaf 01 LOCATION: 7.i mi. cR of Havd n, CO <br />MINE I.D. NO.: CMLRn Permit No. C-BO-00c OWNER'S REP.: Brad Brown, ..n Ma <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes No N A <br />2. Lift thickness: in. <br />3. Compaction according to approved plan: Yee No <br />4. Burning (specify extent and location): Yee No <br />5. Angle of elope: upstream, downstream Total = <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yea No <br /> At isolated points on embankment elopes: Yes No A <br /> At natural hillside: Yes o N/A <br /> Over widespread areas: Yee ~ N/A <br /> From downstream foundation area: Yee No <br /> "Boils" beneath stream or ponded water: Yee ~ N/A <br />7. Cracks or scarps on crest: Yee No ~ <br />~ <br />8. Cracks or scarps on elope: Yee No /~ <br />L/1~ <br />9. Sloughing or bulging on slope: Yee No /A <br />10. *Major erosion problems: Yes ~ N/A <br />11. Surface movements in valley bottom or on hillside: Yea ® N/A <br />12. *Eroaion of toe: Yes No !~ <br />13. *Water impounded against toe: Yea No <br />14. Existing embankment freeboard: see comments ~(8 feet <br />15. Increase Decrease in water level: No change feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No <br />17. Visible sumps or sinkholes in slurry surface: Yes No ~A~ <br />18. *Clogging <br /> Spillway channels and pipes: Yes ® N A <br /> Decant system: Yes No A <br /> Diversion ditches: Yee ® N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes ~ N/A <br /> Decant system: Yee No <br />20. Trash racks clear and in place: ~ No N/A <br />y <br />*Major adverse changes in these items could cause instability and should be reported to the <br />Engineering Manager and Mine Superintendent for further evaluation. Adverse conditions noted <br />in these items should normally be described (extent, location, volume, etc.) in the apace on <br />the back of this sheet. <br />