PERMFILE103732

• Permit No: C1980005
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Doc Name: MID-TERM REVIEW REVISION POND INSPECTION REPORT FORMS
• Section_Exhibit Name: TAB 07 APPENDIX 7-11
• Media Type: D
• Archive: No

PERIODIC INSPECTION FORM
Yater. Sedia~ent. ar' Slurry IaQoun~ents
.INSPECTOR'S NAME:
P.D.E.S. I.D. NO.: rn_nnnn~~T n_P_ nn~
LL•~ILITY CONFI6U2ATION: DikaA Pnnd
TE NAME: Nnrthwact imnnunAment llnn3
MINE NAME: Sanara TT Mina lPeahoAv Poal Gomoanvl
MINE I.D. NO.: rMIRR Parmit Nn. C-nos-8n
DATE:
DATE LAST INSPECTION:
LOCATION: ~.SW~. Sec. 27. T6N. R87W
LOCATION: 7.1 mi. SE of Havden. CO
OWNER'S REP.: Don Zulian. Suot.
Circle or write 1n apprroprlate response
1. Foundation preparation (removal of vegetation, stumps, topsoil?)
2. Lift thickness (inches)
3. Compaction according to approved plan
4. Burning (specify extent and location) NiA
5. Angle Of s10pe {~s~) 7.1 urctraam. 3r1 dnwnstream. total
6. *Seepage (specify location, color, and approximate volume)
From underdrain pipes
At isolated points on em ankment s opes
At natural hillside
Over widespread areas
From downstream founds ion area
'Boils° beneath stream or ponde water
,,,~7. Cracks or scarps on crest
Cracks or scarps on slope _
Sloughing or bulging on slope
10. *Ma~or erosion problems
11. Surface movements in valley bottom or on hillside
12. *Erosion of toe
13. *Mater impounded against toe
14. Existing embankment freeboard
15. Increase Decrease
16. Cracks. bulging. or erosion on
(feet)
in water level (feet)
upstream face
Yes No
~_ i nches
Yes No
Xirkxxm~
= .Fi:l' ~~6'
XRFXXNR
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
_ feet
feet
Yes No
17. Visible sumps or sinkholes in slurry surface N/A XIktXXNti
18.
*Clogging
Spillway channels
Decant system
Diversion ditci~es
and pipes
19. *Cracking or crushing of pipes
Spillway pipes
Decant system
;:~ Trash racks clear and in place N/A
,a~or adverse changes in these items could cause instability and should
the Engineering Manager and Mine Superintendent for further evaluation.
b ons noted in these items should normally be described (extent, location,
in tfie space on the back of this sheet.
Yes No
x~gxxNu
Yes No
Yes No
X~iI X XNdi
X~filXXgd1
be reported to
Adverse condi-
volume, etc.)
7-11-2