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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: M; ha 1 Al avilla DATE: 09/22/99 <br />NPDES I.D. NO.: _-CO-0000221 ^. P. O l0 <br />FACILITY CONFIGURATION: ('rose-Va11_g y Pond DATE LAST INSPECTION: 06/30/99 <br />SITE NAME: Pond MO10 LOCATION: NWk NFk cec_ 8. T5N R87W <br />MINE NAME: voaet Mine(S .+ -a -oa - off LOCATION: 8.K mi_ _cE of Hayden, CO <br />MINE I.D. NO.: C T.Rn p m+ No_ --4 4-08 OWNER'S REP.: Brad Brown, Cen Mqr <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />Foundation preparation (removal of vegetation, stumps, topsoil: <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 3.75:1 upstream, 3.75:1 downstream <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />"Boils" beneath etream~or ponded water: <br />7. <br />8. <br />9. <br />10 <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on elope: <br />*Major erosion problems: <br />11. Surface movements in valley bottom or on hillside: <br />12. *Eroeion of toe: <br />13. <br />14. <br />15. <br />16. <br />17. <br />1B. <br />19 <br />20 <br />*Water impounded against toe: <br />Existing embankment freeboard: Annro:imately <br />Increase Decrease in water level: No chapge <br />Cracks, bulging, or erosion on upstream face: <br />Visible eumpa or sinkholes in slurry surface: <br />*clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />Yes <br />Yea Q <br />Yee <br />Yes <br />Yea <br />Yes ~~~ <br />Yee <br />Yes No <br />Yes <br />Yes <br />Yee "U <br />Yes <br />Yee o <br />10.0 feet <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />feet <br />Yes ~ N A <br />Yes No <br />Yea ~IOI N A <br />Yea o <br />Yes s <br />No N <br />Yee ©o <br />Yee No <br />Yes No <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 <br />conditions noted in these items should normally be described (extent, location, volume, <br />etc.) in the space on the back of this sheet. <br />es No <br />~_ in. <br />_ Yea No <br />Yee No <br />Total = 7.S•1 <br />