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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Chris <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: <br />SITE NAME: Pond #012A <br />MINE NAME: Yoast Mine(Seneca Coal Co) <br />MINE I.D. NO.: CMLRD Permit No. C -94 -082 <br />Cross - Valley Pond <br />DATE: 11 -7 -13 <br />DATE LAST INSPECTION: 9 -5 -13 <br />LOCATION: NE1/ NE'/., Sec. 19, T5N, R87W <br />LOCATION: 8.5 mi. SE of Hayden, CO <br />OWNER'S REP.: Roy Karo, Gen Mgr <br />Circle or write in appropriate response <br />1. <br />Foundation preparation (removal of vegetation, stumps, topsoil: <br />Yes <br />2. <br />Lift thickness: <br />12 in. <br />3. <br />Compaction according to approved plan: <br />Yes <br />4. <br />Burning (specify extent and location): <br />No <br />S. <br />Angle of slope: upstream, downstream <br />Total = <br />G. <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />Yes <br />No <br />N/A <br />At isolated points on embankment slopes: <br />Yes <br />No <br />N/A <br />At natural hillside <br />Yes <br />No <br />N/A <br />Over widespread areas: <br />Yes <br />No <br />N/A <br />From downstream foundation area: <br />Yes <br />No <br />N/A <br />"Boils" beneath stream or ponded water: <br />Yes <br />No <br />N/A <br />7. <br />Cracks or scarps on crest: <br />Yes <br />No <br />N/A <br />8. <br />Cracks or scarps on slope: <br />Yes <br />No <br />N/A <br />9. <br />Sloughing or bulging on slope: <br />Yes <br />No <br />N/A <br />10. <br />*Major erosion problems: <br />Yes <br />No <br />N/A <br />11. <br />Surface movements in valley bottom or on hillside: <br />Yes <br />No <br />N/A <br />12. <br />*Erosion of toe: <br />Yes <br />No <br />N/A <br />13. <br />*Water impounded against toe: <br />Yes <br />No <br />N/A <br />14. <br />Existing embankment freeboard: (normal = 4.6') <br />8.0 <br />feet <br />15. <br />Increase x Decrease in water level: <br />1.4 <br />feet <br />16. <br />Cracks, bulging, or erosion on upstream face <br />Yes <br />No <br />N/A <br />17. <br />Visible sumps or sinkholes in slurry surface: <br />Yes <br />No <br />N/A <br />18. <br />*Clogging <br />Spillway channels and pipes: <br />Yes <br />No <br />N/A <br />Decant system- <br />Yes <br />No <br />N/A <br />Diversion ditches: <br />Yes <br />No <br />N/A <br />19. <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Yes <br />No <br />N/A <br />Decant system: <br />Yes <br />No <br />N/A <br />20. <br />Trash racks clear and in place: <br />Yes <br />No <br />N/A <br />21. <br />Discharge rate (gpm) <br />0 <br />*Major <br />adverse changes in these items could cause instability and should <br />be reported <br />to <br />the Engineering Manager and Mine Superintendent for further <br />evaluation. Adverse <br />conditions <br />noted in these items should normally be described (extent, location, <br />volume, <br />etc.) in the space on the back of this sheet. <br />