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.~, <br />.- <br /> <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name : ~,SS G~.b Y~,o~ Date : ~'~ 'S`tia,.~~ d $ <br />NPDES ID. No.:CO-0000213 Date Last Inspected: Zc~1~~~ O ~ <br />Facility Configuration: Total Incised Pond <br />Site Name: Impoundment #009 Location:47N16W SEC 36 <br />Mine Name: TTew Horizon Mine LoCation:l mi.NW of Nucla, CO. <br />Mine ID No.: CDMG Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine ManacLr <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <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 />Lift thickness (inches) <br />Compaction according to approved plan yP No <br />Burning (specify extend and location) Yes <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: Yes No <br />b.) At isolated points on embankment slopes: Yes ~1 <br />c) At natural hillside: Yes <br />d) Over widespread areas Yes Q <br />e) From downsteam foundation area Yes <br />f) "Boils" beneath stram or ponded water Yes ®o <br />Cracks or scarps on crest Yes <br />Cracks or scraps on slope Yes <br />Sloughing or bulging on slope Yes <br />Major erosion problems Yes <br />Surface movements in valley bottom or on hillside Yes C,~ <br />Erosion of toe Yes <br />water impounded against toe Yes <br />Existing embankment freeboard (feet) <br />Cracks, bulging, or erosion on upsteam face Yes ®o <br />Visible sumps or sinkholes in slurry surface Yes ®° <br />Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant system Yes <br />c) Diversion Ditches Yes <br />Cracking o:r crushing of pipes <br />a) Spillway pipes Yes <br />b) Decant system Yes <br />Trash racks clear and in <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 />Feet <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />f /A <br />F:\Eng\DATA\WP\pond-banks\DAMFORA <br /> <br />