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PERIODIC INSPECTION FORM <br />Stockponds or Sumps <br />INSPECTOR'S NAME: M' ha ] At av;tta <br />FACILITY CONFIGURATION: Stoc and <br />SITE NAME: T-17 <br />MINE NAME: S neca S7 <br />MINE I.D. NO.: c-80-005 <br />1 <br />2 <br />DATE: 09/22 ~, 9 <br />DATE LAST INSPECTION: ~fi/29~99 <br />LOCATION: sW~rSW3~ _cec 72 TSN RA7w <br />LOCATION: 7.1 mi cc of Havd n CO <br />OWNER'S REP.: Brad Brown, C-Pn Mq~_ <br />Angle of slope: 3:1 upstream, ael downstream <br />*Seepage (specify location, color, and approximate volume) <br />At isolated points on embankment elopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />"Boils" beneath stream or ponded water: <br />3. Cracks or ecarpe on crest: <br />4. Cracks or ecarpe 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. *Erosion of toe: <br />9. *water impounded against downstream toe: <br />10. Existing embankment freeboard: see commments <br />11. Increase Decrease in water level: <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 />Yes /701 <br />Yes ~No <br />Yee No <br />Yes <br />Yes l~o <br />Yea <br />Yee ©o <br />Yes N~ <br />Yea <br />Yea ©o <br />Yes N® <br />Yea <br />__ 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 />Yee o N/A <br />Yes N N/A <br />Yes Mto' N/A <br />Yes ~tiol 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 = 7:1 N/A <br />etc.) in the apace on the back of this sheet. <br />