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PERIODIC INSPECTION FORM <br />_ ~ ~ Yater, Sedi~ent, or Slurry Impoundments <br />INSPECTOR'S NAME: L JPU ~; 5 ~o k p s <br />N.P.D.E.S. I.D. NO.: rn-nnnro~t n_P_ nna <br />FACILITY CONFIGURATION: Cross-Valley Pnnd <br />SITE NAME: South Sactinn t9 Pnnd #nna <br />MINE NAME: Sanara Ti Mina (Paahn Cnal Cnmoany~ <br />MINE I.D. NO.: rMiRR Parmit Nn. r.-nos-an <br />Circle or trite in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil?) <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan <br />4. Burning (specify extent and location) N/A <br />5. Angle Of slope ~degrs~ r,•t upstream 7~1 downstream. total <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes <br />At isolated points on embankment s opes <br />At natural hillside <br />Over widespread areas <br />From downstream foundatton area <br />"Boils" beneath stream or ponde water <br />7. Cracks or scarps on crest <br />8. Cracks or scarps on slope <br />9. Sloughing or bulging on slope <br />10. *Major erosion problems <br />DATE: 3 ~ S - ~ 2~ <br />DATE LAST INSPECTION: /a-~ `6' ~ 3 <br />LOCATION: SWaSEa. Sec. 12. T5N. R97W <br />LOCATION: 7,1 mi. SE of Havden. CO <br />OWNER'S REP.: Don Zulian. Supt. <br />11. Surface movements in valley bottom or on hillside <br />12. *Erosion of toe <br />13. <br />14. <br />15. <br />*Water impounded against toe _ <br />Existing embankment freeboard <br />Increase ~ Decrease <br />Ye No <br />~_ inches <br />Yes No <br />~Scec~czX~oc <br />= J:.1 ~~' <br />Yes <br />Yes <br />Yes ~ <br />Yes o <br />Yes <br />Yes <br />Yes ~o <br />Yes <br />Yes dy91 <br />Yes Flo <br />Yes ~!o <br />Yes Il~o <br />Yes No <br />(feet) ,S[~oc~ IOUe c1~.lcQQg l"+c45UVewQ l.~`1- feet <br />in water level (feet) < p„ feet <br />16. Cracks, bulging, or erosion on upstream face <br />17. Visible sumps or sinkholes in slurry surface N/A <br />18. *Clogging <br />Spillway channels and pipes <br />Decant system <br />Diversion ditc es <br />19. *Cracking or crushing of pipes <br />Spillway pipes <br />Decant system <br />20. Trash racks clear and in place N/A <br />*Major adverse changes in these items could cause instability and should <br />the Engineering Manager and Mine Superintendent for further evaluation. <br />tions noted in these items should normally be described (extent, location, <br />in the space on the back of this sheet. <br />Yes <br />x7~s+cX~Nb <br />Yes Qp <br />Yes Flo.) <br />Yes No <br />Yes <br />Yes o <br />XS~XXNA <br />be reported to <br />Adverse condi- <br />volume, etc.) <br />