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_,••ti <br />t.. .~ ~ <br />PERIODIC INSPECTION FORM <br />Water, Sediment, or Sluny Impoundments <br />sector's Name: ~//S /moo GF~ 5 <br />td ID No.: 121 I-CO-09-00302-02 <br />iiity Configuration: Vlf <br />:Name: POND "D" <br />ne Name: FOIDEL CREEK MINE <br />nelD No: OS-03836 <br />Daze: q'/Z /9 7 <br />iiiriiiiii~iiiiiiil <br />sss <br />Field Har~rd Classification (FHC): <br />Date of Last Inspection: 3~Z6 7 <br />Locazion: 25 MILES SW OF <br />Location: STEAMBOAT CP IN +S_ .O <br />Owner's Rep.: RICK MILLS <br />Circle o r write i n annmot iate rt monv <br />Foundation prtparation (removal of vegetation, smmps. tospoil) . _Yes _No I I. Surface movemenu in valley bottom ar on hillside . _Yes Y\s, <br />LiD thickness linchesl ~ ................................. _Yes _No 12. Erosion of toe ............................ Yes !/.~ <br /> : _ <br />Compunction accordine to approved plan ................... _Yes _No 13. Wiser impounded against toe ................ i/~es \o <br />' Doming (specili• extent and lacazianl ~ ................... _Yes _No 14. Existing embankment freeboard (feet) ........... 4.9Z left <br />Angle of slope (dcgrcesl ................................ _Yes _No IS. ~Incrcase _Decrtase in water level (feet) ~ • ~ (eft <br />• Seepa.e (specify location. color, and approximate volume) 16. Crazks, bulging, or erosion on upstrtam face ..... _Yts f[~i+ <br />•~ <br />From underdrain pipes ............................ <br />_Yes <br />~0 <br />17. <br />Visible sumps or sinkhota in slurry surtatt ...... <br />_Yes <br />~, <br />At isolated points on embankment slope ............... _Yes ~ 18. • Clogging <br />At natural hillside ................................ _Yes ~o Spillway channels and pipes ............. _Yes _~, <br />Over widespread areas ............................ _Yes ~ Deran[ system ........................ _Yes ~i+ <br />From downstream tbundation area .................. . _Yes ~ Diversion ditches ...................... _Yes !'~u <br /> <br />-Dolls" beneath stream ur ponded water ............... _Yes ~Jo 19. • Cracking or crushing of pipes .............. . <br />Cracks or scarps on crest ................................ _Yes r[~Jo Spillway pips ........................ _Yes ~i+ <br />Cracks or scarps on slope ............................... _Yes ~ <br />Jy Decant system ........................ _Y <br />es L.~i, <br />Sloughin¢ or bttlgina un slope ........................... _Yes / <br />!T7 20. Trash reeks clear and in place ................. / <br />r!Ycs _ <br />_\o <br />t. • Mnjor emsion problems ............................... _Yes <br />• Major adverse cltanaes in those items could cause instability and should be rtported to the District Manager 1'or further evalua[ion. Adverse conditions <br />noted in these items should normally he described (extent. location, volume. ate.) in the spas below and on the ba~kof this sheep <br />Lnsotnion Catc^_nn• ommen c <br />/d ~- ~ Ge FJ Ta • 08 <br /> <br />:: `.Jocu ntennlornts\inshapt n+d.l Fm <br />7/n.r ~/4c/4~. ~. ~O <br />