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PERIODIC INSPECTION FORM <br />Stoekponds or Sumps <br />INSPECTOR'S NAME: Mi ha 1 At av']la <br />FACILITY CONFIGURATION: ~toCkgond <br />SITE NAME: T-16 <br />MINE NAME: ~ n a 7r <br />MINE I.D. NO.: c-RD-005 <br />1 <br />2. <br />DATE: 09/22/99 <br />DATE LAST INSPECTION: 0(i/29/99 <br />LOCATION: ~F.'~NW'q Sec 12 TaN R87W <br />LOCATION: 7.1 mi cF: of Hayden CO <br />OWNER'S REP.: Rrad Rrown ~(_en Mq;_ <br />Angle of elope: 3:1 upstream, a:1 downstream <br />*Seepage (specify location, color, and approximate volume) <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 />3. Cracks or scarps on crest: <br />4. cracks or scarps on elope: <br />5. Sloughing or bulging on elope: <br />6. +Major erosion problems: <br />7. Surface movements in valley bottom or on hillside: <br />8. *Eroeion of toe: <br />9. *Water impounded against downstream toe: <br />10. Existing embankment freeboard: Anoroximat y <br />11. Increase Decrease in water level: No C.hnge <br />12. Cracks, bulging, or erosion on upstream face: <br />13 <br />14 <br />spillway erosion: _ <br />*Clogging <br />Spillway channels: <br />Diversion ditches: <br />Yee No <br />Yes <br />Yee <br />Yee No <br />Yes o <br />Yes No <br />Yes 1~0 <br />Yes No <br />Yee N® <br />Yee <br />Yee <br />Yea <br />7.0 feet <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 />feet <br />Yes N~ N/A <br />Yea C???l---o~~~ N/A <br />Yee ~ N/A <br />Yee o 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 <br />conditions noted in these items should normally be described (extent, location, volume, <br />Total = 6:1 N/A <br />etc.) in the apace on the back of this sheet. <br />