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PERIODIC INBPECTION FOAM <br />Water, Sedi~eat, or slurry Ispouadssat^ <br />INSPECTOR'S NAME: Ml chawl Altavilla DATE: D +/30J99 <br />NPDES I.D. NO.: ~1/A <br />FACILITY CONFIGURATION: Incised Pend DATE LAST INSPECTION: G~J~/9o <br />SITE NAME: Truck Wash Settlin0 Pond LOCATION: NWlr HF.iI c~~4 T6N_ RA7W <br />MINE NAME: cenwca it Minor (can Gee -01 LOCATION: 7.1 mi. aF cf Na wn f~ <br />MINE I.D. NO.: CDMG Permit No. [`-AD-DOS OWNHR'S REP.: Brad Rrewn Gen NQr <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: ee No N/A <br />2. Lift thickness: ~A inches <br />3. Compaction according to approved plan: Yee No N <br />4. Burning (specify extent and location): Yee No N <br />5. Angle of elope: upstream, downstream Total = _N~ <br />6. *Seapage (specify location, color, and approximate volume) <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />15. <br />19. <br />20 <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 />"Boils" beneath stream or ponded water: <br />Cracks or ecarpe on crest: <br />Cracks or ecarpe 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: <br />Yee <br />Yee <br />Yee <br />Yee <br />Yea <br />Yee <br />Yee <br />No <br />No <br />No <br />0 <br />No <br />No <br />Yee No <br />Yee No <br />Yee ®o <br />Yea No <br />Yee No <br />N/A <br />N/A <br />N/A <br />N/A <br />A <br />N A <br />/A <br />Yore Nn <br />See comments 5"D feet <br />Increase Decrease in water level: No change <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in Blurry surface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />+Crecking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />feet <br />Yee ~ N/A <br />Yee No <br />Yea /~o~ N A <br />Yee o <br />Yee No A <br />Yee No N/A <br />Yee No <br />Yee 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 <br />on the back of this sheet. <br />