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INSPECTOR'S NAME: Dennis Jones <br />FACILITY CONFIGURATION: Incised Sump <br />SITE NAME: Portal Sump 1 (upper north) <br />MINE NAME: Peabody Sage Creek Mine <br />MINE I.D. NO.: CDRMS Permit No. C- 2009 -087 <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 />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />DATE: l - ( 12 <br />DATE LAST INSPECTION: 6- ( s - ( 2 <br />Circle or write in appropriate response <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: NA upstream, NA downstream Total = NA <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 />s/ 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 and pipes: <br />Decant system: <br />Diversion ditches: <br />19. *Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />20. Trash racks clear and in place: <br />21. Discharge rate (gpm) <br />-s c-( C. ct P <br />LOCATION: NW',,, Sec. 3, T5N, R87W <br />LOCATION: 7.1 mi. SE of Hayden, CO <br />OWNER'S REP.: Mike Ludlow <br />*Major adverse changes in these items could cause instability and should <br />Engineering Manager and Mine Superintendent for further evaluation. Adverse <br />these items should normally be described (extent, location, volume, etc.) <br />back of this sheet. <br />Yes <br />12 in. <br />Yes <br />No <br />N/A <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes No <br />Existing embankment freeboard: wS$t (Je.v+ -L (( .i..ecaA k Le feet <br />No <br />Z feet <br />Yes No <br />N/A <br />No N� /A <br />No N/A <br />No N/A <br />No N A <br />c N/A <br />No N/A <br />No N/A <br />No ` N /A <br />N/A <br />Yes N/A <br />N/A <br />Yes No CM <br />Yes No N/A <br />N/A <br />Yes <br />No <br />be reported to the <br />conditions noted in <br />in the space on the <br />