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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Michael Altavilla DATE: 09/22/99 <br />NPDES I.D. NO.: CO-0000 221 D.P_ 008 <br />FACILITY CONFIGURATION: C ross-Valley Pond DATE LAST INSPECTION: 06/30/99 <br />SITE NAME: Pond A'008 LOCATION: SW~+ NW's. Sec_ 7 TSN. RR6W <br />MINE NAME: c n a r Min ~(Seneca Cnal Col LOCATION: 7.1 m;. SF of Hayden SO <br />MINE I.D. NO.: eMi.Rn Perm it No_ C-80-005 OWNER'S REP.: Brad Brown, Gen Mar <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 />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19. <br />20 <br />Foundation preparation (removal of vegetation, stumps, topsoil: es No <br />Lift thickness: 1Z in <br />Compaction according to approved plan: Yes No <br />Burning (specify extent and location): Yes No <br />Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:t <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />At isolated points on embankment elopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />"BOile" beneath stream or ponded water: <br />Cracks or scarps on crest: <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 />*Eroeion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: ~ c men = <br />increase Decrease in water level: No change <br />Cracks, bulging, or erosion on upstream face: <br />Visible Bumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />Yea No <br />Yes <br />Yee <br />Yee <br />Yee o <br />Yee <br />Yee <br />Yes <br />Yea o <br />Yee N <br />Yes 10 <br />Yes <br />Yee L7ry,9ry ' <br />S_S feet <br />feet <br />Yee ®o <br />Yes No <br />N/A <br />N/A <br />N A <br />N/A <br />N/ <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N A <br />N A <br />Yes ~ N/A <br />Yea No <br />Yes No <br />Yes ~ N A <br />Yee No <br />ee No N/A <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 described (extent, location, volume, etc.) in the apace on <br />the back of this sheet. <br />