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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 3/21/89 <br />NPDES I.D. NO.: - D.P.O <br />FACILITY CONFIGU ~: Cross-Va ey Pon DATE LAST INSPECTION: 1C/4/88 <br />SITE NAME: Pond X008 LOCATION:SW'hNW'/., Sec. 7 TSN, R <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 ian, up . <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil): _ es No N/A <br />2. Lift thickness: l2 in. N/A <br />3. Compaction according to approved plan: © No N/A <br />4. Burning {specify extent and location): Yes No 7 <br />5. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 N/A <br />6. *Seepage (specify location, color, and approximate volume) <br />__ From underdrain pipes: Yes No <br /> At isolated points on em an men s open: Yes N/A <br /> At natural hillside: Yes No N/A <br /> Over widespread areas: Yes N N/A <br /> From downstream foundation area: Yes No N/A <br /> "Boils" beneath stream or ponded wa er: Yes o N/A <br />7. Cracks or scarps on crest: (See Comments) Yes ® N/A <br />8. Cracks or scarps on slope: (See Comments) Yes ~ N/A <br />9. Sloughing or bulging on slope: Yes No N/A <br />10. *Major erosion problems: Yes N~ N/A <br />11. Surface movements in valley bottom or on hillside: Yes No N/A <br />12. *Erosion of toe: Yes ~ N/A <br />13. *Water impounded against toe: Yes ® N/A <br />14. Existing embankment freeboard: 7.4 feet <br />15. X Increase Decrease in water level: 1 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/ <br />18. *Clogging <br /> Spillway channels and pipes: Yes <br /> Decant system: Yes No <br /> Diversion ditches: Yes No <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes N~ N/A <br /> Decaht system: Yes No <br />20. Trash racks clear and in place: __ Ye 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 />