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i 3:, <br />PERIODIC INSPECTION FORM <br />Mater. Sediment, ar Slurry Impoundments <br />INSPECTOR'S NAME: ~eti~n~5 ~1 0 X2.5 <br />N.P.D.E.S. I.D. NO.: cn-nnnnP~T n.P_ nn~ <br />FACILITY CONFIGURATION: ^iked Pnnd <br />SITE NAME: ~Inrthwact Tmnmmdmant #003 <br />MINE NAME: SPnaca TT Mina (P ahoy Cnal Gnmoan~L) <br />MINE I.D. NO.: f.Ml RR Permit Nn_ f.-005-80 <br />DATE: ~a "~ S ' K.3 <br />DATE LAST INSPECTION: <br />LOCATION: SE~SW~. Sec. 27. T6N. R87W <br />LOCATION: 7.1 mi. SE of Hayden. CO <br />OWNER'S REP.: Don Zulian. Supt. <br />Circle or mite in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil?) <br />2. Lift thickness (inches) <br />es No <br />~_ i nches <br />Yes No <br />4. Burning (specify extent and location) rt/A Xl~YXXD$9l <br />5. Angle of slope Fde~~eatp~ 9~T upstream, 3~T downstream. total = ;,,,'1~94MBef. <br />6. *Seepage (specify location, color, and approximate volume) <br />3. Compaction according to approved plan <br />From underdrain pipes XR%XXp1P <br />At isolated points on embankment s open Yes <br />At natural hillside Yes <br />Over widespread areas Yes 140 <br />From downstream foundatTOn area Yes 4~ <br />"Boils" beneath stream or ponde water Yes ~j <br />7. Cracks or scarps on crest Yes No <br />8. Cracks or scarps on slope <br />9. Sloughing or bulging on <br />10. *Major erosion problems <br />Yes ~ <br />slope Yes Q~ <br />Yes ~ <br />11. Surface movements in valley bottom or on hillside Yes <br />12. *Erosion of toe <br />13. *Water impounded against toe_ <br />14. Existing embankment freeboard <br />15. Increase Decreas <br />Yes <br />Yes N1 <br />(feet) Sttiow - puce )u~os b~nsaupa,•erd-feet <br />in water level (feet) t4~~#eei; <br />16. Cracks, bulging, or erosion on upstream face Yes <br />17. Visible sumps or sinkholes in slurry surface N/A XaE%XXNtl <br />18. *Clogging <br />Spillway channels <br />Decant system <br />Diversion ditcFes <br />19. *Cracking or crushing of pipes <br />Spillway pipes <br />Decant system <br />20. Trash racks clear and in place N/A <br />Yes No <br />Xg9(XXNtl <br />Yes I~o <br />Yes No <br />XOfiIX <br />Xifi(XXNdf <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 an the back of this sheet. <br />and pipes <br />