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PERIODIC INSPECTION FORN <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Tom Wainwrig ht DATE: 06/07/94 <br />N PDES I.D. NO.: COG-850008-OOlA <br />FACILITY CONFIGURATION: Embankment Pond DATE LAST INSPECTION: 3/28/ 94 <br />SITE NAME: Truck Loop Pond 1 LOCATION: SE% SW ;, Sec 14 T6N ,R88W <br />MINE NAME: H-G Terminal, Inc. LOCATION: 2 mi. SE of Havden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-92-081 OWNER'S REP.: Scott Williams, Supt. <br />Circle or write in aoyroariate response <br />1. Burning (specify extent and location): Yes No N/A <br />2. Angle of slope: 2.75:1 upstream, 2:1 downstream Total = 4.75:1 N/A <br />3. *Seepage (specify location, color, and approximate volume) <br /> From underd ra in pipes: Yes N/A <br /> At isolated points on embankment slopes: Yes No <br /> At natural hillside: Yes N/A <br /> Over widespread areas: Yes o N/A <br /> From downstream foundation area: Yes o N/A <br /> "BOi1s•' beneath stream or ponded water: Yes No N/A <br />4. Cracks or scarps on crest: Yes ~ N/A <br />5. Cracks or scarps on slope: Yes N~ N/A <br />6. Sloughing or bulging on slope: Yes Q N/A <br />7. *Major erosion problems: Yes (rvof N/A <br />8. Surface movements in valley bottom or on hillside: Yes No N/A <br />9. *Erosion of toe: Yes ~N O1 N/A <br />10. *Water impounded against toe: Yes No N/A <br />11. Existing embankment freeboard: 10 feet <br />12. Increase X Decrease in water level: Approximatel y 1 feet <br />13. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />14. Visible sumps or sinkholes in slurry surface: Yes No N/A <br />15. *Clogging <br /> Spillway channels and pipes: Yes No N/A <br /> Decant system: Yes o N/A <br /> Diversion ditches: Yes o N/A <br />16. ^Cracking or crushing of pipes <br /> Spillway pipes: Yes ©o N/A <br /> Decant system: Yes o N/A <br />17. Trash racks clear and in place: Yes No /A <br /> <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 conditions <br />noted in these items should normally be described (extent, location, volume, etc.) in the <br />space on the back of this sheet. <br />