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PERIODIC INSPECTION FORM <br />Stockpoads or Sumps <br />INSPECTOR'S NAME: Rp~! Karo <br />FACILITY CONFIGURATION: ~ o pond <br />SITE NAME: T-72 <br />MINE NAME: ~ n a 7t <br />MINE I.D. NO.: C-80-005 <br />DATE: 12/22 ~Q7 <br />DATE LAST INSPECTION: 09/j 4/97 <br />LOCATION: NWkCF.i~ yet 12 TSN 8H7W <br />LOCATION: 7.l mi aR of Haydn CO <br />OWNER'S REP.: Brad Brown - n Ma <br />1. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 N/A <br />2. *Seepage (specify location, color, and approximate volume) <br /> At isolated points on embankment slopes: Yee ~ N/A <br /> At natural hillside: Yee ~ N/A <br /> Over widespread areas: Yes ~ N/A <br /> From downstream foundation area: Yea ~ N/A <br /> "Boils" beneath stream or ponded water: Yee 1~ N/A <br />3. Cracks or scarps on treat: Yes ~ N/A <br />4. Cracks or scarps on elope: Yes l~ N/A <br />5. Sloughing or bulging on elope: Yes ~ N/A <br />6. *Major erosion problems: Yea o N/A <br />7. Surface movements in valley bottom or on hillside: Yes o N/A <br />8. *Erosion of toe: Yee ~ N/A <br />9. *Water impounded against downstream toe: Yes No N/A <br />10. Existing embankment freeboard: Approximately ~_ feet <br />11. Increase Decrease in water level: No change feet <br />12. Cracks, bulging, or erosion on upstream face: Yes o N/A <br />13. Spillway erosion: Yea o N/A <br />14. *Clogging <br /> Spillway channels: Yee 1~ N/A <br /> Diversion ditches: Yes 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 />etc.) in the space on the back of this sheet. <br />