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• PERIODIC INSPECTION FORM • <br />Water, Sediment, or Sltury Impotutdments <br />RECEIVED <br />ACT 111998 <br />tlIY161BH dl AAIHBFdIS ti uBalaBY <br />Inspector's Name: T1'h /~OGE.eS <br />Pond ID No.: 121 I-CO-09-00302-01 _ <br />Facility Configuration: VII <br />Site Name: POND "A" <br />Mine Name: FOIDEL CREEK MINE <br />MinelD No: OS-03836 <br />Date: / r~ X96 <br />Field Hazard Classification FHC): <br />Daze of Last Inspection: ~~~s X96 <br />Location: 25 MILES SW OF <br />Location: AMBOAT PRIM .S rry <br />Owner's Rep.: RICK MILLS <br /> Circle or write i n appropr iate re sponse <br />I . Foundation preparation [removal of vegetation, stumps, tospoil) . _Yes _No I I. Surface movements in valley bottom or on hillside . _Yes ~+ <br />2. Lifl thickness(inchesl~ ................................. Yes _No I2. • Erosion of toe............................ _Yes 1Si <br />3. Companction according to approved plan ................... _Yes _No 13. 'Water impounded against toe ................ ~; _~, <br />i. ' Burning (speci Fy extent and location) .................... _Yes _No 14. Existing embankment Geeboard (feet) ........... ~ ti:r <br />J. Angle o(slope (degrees) . .............................. _Yes _No I5. Increase ^Decrcase in water level (feet) O leer <br />b. ' Seepaee (specify location, color. and approxima[e volume) I b. Cracks, bulging, or emsion on ups[ream face ..... _Yes <br /> From underdrain pipes ............................ _Yes ~ 17. Visible sumps or sinkholes in slum surface ...... _Yes <br /> At isolated points on embankment slope ............... _Yes ~ 18. • Clogging <br /> At natural hillside ................................ _Yes ~ Spillway channels and pipes ............. _Yes _~ <br /> Over widespread areas ............................ _Yes _~ Decant system ........................ _Yes <br /> From downstream Inundation area ................... _Yes ~ Diversion ditches ...................... Yes ~ <br /> "Boils" beneath stream or ponded water ............... _Yes ~f 19 'Cracking or crushing oFpipes .............. . <br />7. Cracks or scarps nn crest ................................ _Yes ~f Spillway pipes....................... _Yes _~. <br />A. Cracks or scarps nn ;lope ...... ... .. .. ......... ...... _Yes yf~i Decant sysrem ...... .. ......... ....... _Yes _® <br />9 Slouel[ing or buleine on slope . ....................... Yes ~ ?0. Trash racks clear and in place ................. ~ ~'o <br />10. • Majorerosion prohlems ............................... _Yes ~qA <br />• Major adverse changes in rlrese items could cause instability and should be reported to the Distric[ Manager f'or funkier evaluation. Adverse conditions <br />noted in these items should normally be described (extent. location, volume, e[e.) in the space below and on the back of this sheet. <br />Inspection Catc^_on~ <br />m e <br />F.P~~aeA /NF.'sveEe To ,ytry~ of ~u~eclf~r SAa.r•.~.oi- <br /> <br />k/,4,se sae~xa E~.~,rmr ~ 6 9 33. B <br />r.~dncumcm\IbnnsmxhapnnJ Irm <br />