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PERIODIC INSPECTION FORK <br /> Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Michae l A7 avi77a DATE: - 03/23 ~Q8 <br />NPDES I.D. NO.: ~jfA <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTION: ~/72./g7 <br />SITE NAME: Epi 7 on o Pond No. LOCATION: NW$~~ Cer_ 34 m6N H87W <br />MINE NAME: CQneca Mine rr (g n a Coal of LOCATION: 7.7 mi. c7x of Hayden s0 _ <br />MINE I.D. NO.: CI)MC- Permi t No_ c-80-005 OWNER'S REP.: Brad Browner Gen Mqr <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: ea No N/A <br />2. Lift thickness: in. <br />3. Compaction according to approved plan: Yee No <br />4. Burning (specify extent and location): Yes No <br />5. Angle of slope: upstream, downstream Total = <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: Yes No <br />At isolated points on embankment elopes: Yee ~ N/A <br />At natural hillside: Yea ~ N/A <br />Over widespread areas: Yee ® N/A <br />From downstream foundation area: Yea ~ N/A <br />"Boils" beneath et ream or ponded water: Yee o N/A <br />7. Cracks or scarps on crest: Yee ~ N/A <br />8. Cracks or scarps on elope: Yea ~ N/A <br />9. Sloughing or bulging on elope: Yes ® N/A <br />10. *Major erosion problems: Yes ~ N/A <br />11. Surface movements in valley bottom Or on hillside: Yee ® N/A <br />12. *Eroeion of toe: Yee ® N/A <br />13. *water impounded against toe: Yee ~ N/A <br />14. Existing embankment freeboard: see comments 7.0 feet <br />15. Increase Decreaae in water level: No change feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ~ N/A <br />17. Visible sumps or sinkholes in slurry eurface: Yee No <br />18. *Clogging <br />Spillway channels and pipes: Yes No <br />Decant system: Yee No A <br />Diversion ditches: Yee 0 N/A <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yee No <br />Decant system: Yes No <br />20. Trash racks clear and in place: Yee No <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 space on <br />the back of this sheet. <br />