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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: _ Dennis Jones <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: Incised Pond <br />SITE NAME: Spill Control Pond No. 2 <br />MINE NAME: Peabody Sage Creek Mine <br />MINE I.D. NO.: CDRMS Permit No. C-2009-087 <br />DATE: (0-t3-10- <br />DATE LAST INSPECTION: 1- 1 ( o <br />LOCATION: NWT/, NE%, Sec. 34, TGN, R87W <br />LOCATION: 7.1 mi. SE of Hayden, CO <br />OWNER'S REP.: Mike Ludlow <br />Circle or write in appropriate response <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 />21 <br />Foundation preparation (removal of vegetation, stumps, topsoil: <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: upstream, downstream <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: _ <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 slope: <br />Sloughing or bulging on slope: <br />*Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: (normal = 7. <br />Increase Decrease in water level: <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of <br />Spillway pipes: _ <br />Decant system: <br />Trash racks clear and in <br />Discharge rate (gpm) <br />pipes <br />place: <br />*Major adverse changes in these items could cause instability and <br />Engineering Manager and Mine Superintendent for further evaluation. <br />these items should normally be described (extent, location, volume <br />back of this sheet- <br /> <br />and pipes: <br />0') <br />? c. +?-o L,-? I <br />Yes <br />N/A <br />N/A <br />N/A <br />Total = N/A <br />N/A <br />Yes o N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes o N/A <br />Yes o N/A <br />Yes o N/A <br />Yes o N/A <br />Yes o N/A <br />Yes No N/A <br />Yes N N/A <br /> feet <br /> feet <br />Yes (ffg-> N/A <br />N/A <br />Yes N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />should be reported to the <br />Adverse conditions noted in <br />etc.) in the space on the <br />4-?-A