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INSPECTOR'S NAME: Dennis Jones <br />NPDES I.D. NO.: CO- 0048275 D.P. 004 <br />FACILITY CONFIGURATION: Cross - Valley Pond <br />SITE NAME: South Section 12 Pond #004 <br />MINE NAME: Peabody Sage Creek Mine <br />MINE I.D. NO.: CDRMS Permit No. C- 2009 -087 <br />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />DATE: q <br />-ll <br />DATE LAST INSPECTION: ‘ <br />Circle or write in appropriate response <br />LOCATION: SW SEA %, Sec. 12, T5N, R87W <br />LOCATION: 7.1 mi. SE of Hayden, CO <br />OWNER'S REP.: Mike Ludlow <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: 12 <br />3. Compaction according to approved plan: Yes <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 5:1 upstream, 2:1 downstream Total = 7:1 <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: N/A <br />At isolated points on embankment slopes: Yes No N/A <br />At natural hillside: Yes No N/A <br />Over widespread areas: Yes No N/A <br />From downstream foundation area: See Lo¢.. 1 No N/A <br />"Boils" beneath stream or ponded water: Yes 'o N/A <br />7. Cracks or scarps on crest: <br />8. Cracks or scarps on slope: <br />9. Sloughing or bulging on slope: <br />10. *Major erosion problems: <br />11. Surface movements in valley bottom or on hillside: <br />12. *Erosion of toe: <br />13. *Water impounded against toe: <br />14. Existing embankment freeboard: (normal = 4.8') <br />15. Increase Decrease in water level: Ka <br />16. Cracks, bulging, or erosion on upstream face: Yes N/A <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging <br />Spillway channels and pipes: Yes T� N/A <br />Decant system: Inoperable Yes Now <br />Diversion ditches: Yes 0 N/A <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yes ® N/A <br />Decant system: Inoperable Ycs N N/A <br />20. Trash racks clear and in place: No N/A <br />21. Discharge rate (gpm) <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 />4 .g feet <br />feet <br />I1S <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. n <br />4, , cub <br />1 RAJ cCU � � e � 54 v�o� -� � j 5 to � ; I I k94 i 5 <br />11 (( II <br />C Q o W : v� 5<< t t i e l4,v V 1'e.t c i v �2 j <br />