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PERIODIC INSPECTION FORM <br />Water, Sadimeat, or Slurry Impoundments <br />INSPECTOR'S NAME: Michael Altavilla DATE: 09/22/99 <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTION: 06/30/99 <br />SITE NAME: Truck Waeh Supnl;l Pond LOCATION: NWT NF.k cPy r~~4 T6N R87W <br />MINE NAME: tenets Mine TT (ten a -Oal .01 LOCATION: 7_~ mi. SF of Hayden,-(=0 <br />MINE I.D. NO.: eDM- P rm' Nn_ --SO-OOS OWNER'S REP.: Brad Brown Gen Mqr <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <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 elope: 2:1 upstream, 2:1 downstream <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 stream or ponded water: <br />*Seepage (specify location, color, and approximate volume) <br />Cracks or scarps on treat: <br />Cracks or scarps on elope: <br />Sloughing or bulging on elope: <br />*Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Erosion of toe: <br />13. *Water impounded against toe: <br />14. Existing embankment freeboard: see comments <br />15. _~ Increase Decrease in water level: <br />16. Cracks, bulging, or erosion on upstream face: <br />17. Visible sumps or sinkholes in slurry surface: <br />18. *Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />19. *Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />20. Trash racks clear and in place: <br />_ ee No N/A <br />~2 inches <br />Yee <br />Yes No N/A <br />No <br />Total = 4:7 <br />Yes No / <br />Yes A <br />Yee o N/A <br />Yes N/A <br />Yee N/A <br />Yes o N/A <br />Yes No N/A <br />Yee No N/A <br />Yes o N/A <br />Yea ®o N/A <br />Yee ® N/A <br />Yes .. N/A <br />Yes ~ <br />o N/A <br />2.5 feet <br />1.0 feet <br />Yee ~ N/A <br /> <br />Yee No <br />Yee ~ N A <br />Yes o <br />Yee ~ A <br />Yee ® N A <br />Yes No <br />Yee NO <br />*Major adverse changes in these items could cause instability and should be reported to the <br />Engineering Manager and Mine Superintendent for further evaluation. Adverse conditions noted <br />in these items should normally be deecribed (extent, location, volume, etc.) in the space on <br />the back of this sheet. <br />