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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 />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: /0' ( <br />DATE LAST INSPECTION: <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: 5:1 upstream, 2:1 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: See bQ !O 1/4.7 <br />Existing embankment freeboard: (normal = 4.8') <br />Increase Decrease in water level: k <br />Cracks, bulging, or erosion on upstream face: (/ <br />Visible sumps or sinkholes in slurry surface: <br />LOCATION: SW'% SE %, Sec. <br />LOCATION: 7.1 mi. SE of <br />OWNER'S REP.: Ed Brady <br />12, T5N, R87W <br />Hayden, CO <br />Yes <br />12 <br />Yes <br />No <br />Total = 7:1 <br />�To N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />N/A <br />'{.g feet <br />feet <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 <br />N/A <br />N/A <br />*Clogging <br />Spillway channels and pipes: Yes No N/A <br />Decant system: Inoperable Yes No N/A <br />Diversion ditches: Yes Q N/A <br />19. *Cracking or crushing of pipes l I <br />Spillway pipes: 5< e IPQ `�G.) Yes N/A <br />Decant system: Inoperable Ycs No N/A <br />20. Trash racks clear and in place: r No N/A <br />21. Discharge rate (gpm) a3 <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. ��II ( <br />25 l3 . � <br />. E U 2kc- s z Il w G� r.L( VV ' F - cR .ect 'Ioc.Qa ( so . <br />,...SL � I- 'e V I vs04I5 Ito t� In <br />4� �l_ r e_ lA sr (-4 5ect_04-5 p42.4Cti.11/tusi CAtCk.S irfe_e <br />j�, .SeO , .kSS p � n f 1 AJP 5Q Q 5 �e ‘", ( <br />C(‘-t , t ,mob 1Qk. OL o (0%a &MS <br />c <br />