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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Michael Altav;_tta DATE: 0928 ~7 <br />NPDES I.D. NO.: CO-0000 t D.P. 004 <br />FACILITY CONFIGURATION: Cross-Vattgy Pond DATE LAST INSPECTION: 06~27~97 <br />SITE NAME: Pond 1009 LOCATION: ~'~ cWk. Sec. tt 'PSN R88W <br />MINE NAME: Reneca it-W M;n (Reneca Co-7 0l LOCATION: A ms. S of Hayden, CO <br />MINE I.D. NO.: CMLRn p m+r No -8 -057 OWNER'S REP.: Brad Brown, Gen Mgr <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18. <br />19 <br />20 <br />Foundation preparation (removal of vegetation, stumps, topsoil: ~ No <br />Lift thickness: 1Z in <br />Compaction according to approved plan: ee No <br />Burning (specify extent and location): Yes No <br />Angle of slope: 3e1 upstream, 3:1 downstream Total = 6:1 <br />*Seepage (specify location, color, and approximate volume) <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 scarps on crest: <br />Cracks or scarps 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: Approximately <br />Increase Decrease in water Level: No change <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />Yee No <br />Yee <br />Yes o <br />Yee o <br />Yes o <br />Yes o <br />Yes <br />Yea <br />Yes o <br />Yes <br />Yea o <br />Yee o <br />Yee No <br />6.9 feet <br />feet <br />Yes Q <br />Yes No <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 />N~A <br />N~A <br />N~A <br />N~A <br />N A <br />N~A <br />Yea ~ N A <br />Yee No <br />Yee No N <br />Yee No NLA <br />Yes No `+Y~F`~\ <br /> No N~A <br />*Major adverse changes in these items could cauee 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 on <br />the back of this sheet. <br />