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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />r J1 - 1 _1 C (�� <br />INSPECTOR'S NAME: Dennis Jones DATE 1/1A <br />FACILITY CONFIGURATION: Incised Sump DATE LAST INSPECTION: <br />SITE NAME: Portal Sump 2 (lower south) LOCATION: NW%, Sec. 3, T5N, 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 />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18. <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: NA in. <br />3. Compaction according to approved plan: NA <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 2:1 upstream, 3:1 downstream Total = 5:1 <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />N/A <br />Yes No <br />At natural hillside: Yes No <br />Over widespread areas: Yes No <br />From downstream foundation area: Yes No <br />"Boils" beneath stream or ponded water: Yes CO N A <br />Cracks or scarps on crest: Yes No N/A <br />Cracks or scarps on slope: Yes No N/A <br />Sloughing or bulging on slope: Yes No N . J <br />*Major erosion problems: Yes o N/A <br />Surface movements in valley bottom or on hillside: Yes NN N/A <br />*Erosion of toe: Yes No N A) <br />*Water impounded against toe: Yes No N/A <br />Existing embankment freeboard: Fv ,, <br />c ,,, Tu p- c, l l << b c;� l c-k u�v 6,& feet -----j Increae Decrease in water level: ilA feet <br />Cracks, bulging, or erosion on upstream face: Yes No N/A <br />N/A <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: Yes N/A <br />Decant system: N/A <br />Diversion ditches: Yes No N/A <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yes N/A <br />Decant system: N/A <br />20. Trash racks clear and in place: Yes <br />21. Discharge rate (gpm) <br />No <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. <br />