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INSPECTOR'S NAME: Dennis Jones <br />FACILITY CONFIGURATION: Diked Pond <br />SITE NAME: Lower Sump <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 />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 Total = <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 />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />DATE: /0 ^` Z <br />DATE LAST INSPECTION: `-(0 - t <br />LOCATION: SE %, Sec. 34, T6N, R87W <br />LOCATION: 7.1 mi. SE of Hayden, CO <br />OWNER'S REP.: Ed Brady <br />Circle or write in appropriate response <br />Yes <br />in. <br />Yes <br />No <br />N/A <br />Yes No <br />From downstream foundation area: <br />"Boils" beneath stream or ponded water: <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: £ c.-i-Qjr 1ev.=( 6.1S feirt 640,4 3.Sr.I(k 4�.1 feet <br />15. Increase ti Decrease in water level: f U feet <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 ® N/A <br />Decant system: N/A <br />Diversion ditches: Yes 0 N/A <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yes No (N /A) <br />Decant system: N/A <br />20. Trash racks clear and in place: Yes No N/A <br />21. Discharge rate (gpm) v <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />No <br />No <br />No <br />0 <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 />N/A <br />N/A <br />N/A <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 />