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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: _ Dennis Jones DATE: ?(' of 10 <br />NPDES I.D. NO.: CO-0048275 D.P.002 <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTION: <br />SITE NAME: Wadge Impoundment #002 LOCATION: NW1/, NE1/., Sec. 34, T6N, R87W <br />MINE NAME: Peabody Sage Creek Mine LOCATION: 7.1 mi. SE of Hayden, CO <br />MINE I.D. NO.: CDRMS Permit No. C-2009-087 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: <br />Increase Decrease in water level: kJ y C_ L%ctkq? <br />Cracks, bulging, or erosion on upstream face: <br />visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />Discharge rate (gpm) <br />Total = 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 />Yes No <br />N/A <br />N/A <br />N/A <br />Yes ffNDo <br />Yes N/A <br />N/A <br />N/A feet <br />feet <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />Yes No N/A <br />N/A <br />Yes No N/A <br />N/A <br />N/A <br />N/A <br />13? <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 in <br />these items should normally be described (extent, location, volume, etc.) in the space on the <br />back of this sheet.