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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Michael Altavilla DATE: _ 06/27/97 <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTION: 03/20/97 <br />SITE NAME: Truck Wash Suooly Pond LOCATION: NWy NEy. Sec. 39, T6N, R87W <br />MINE NAME: Seneca Mine II (Seneca Coal Col LOCATION: 7.1 mi. SE of Hayden. CO <br />MINE I.D. NO.: CDMG Permit No. C-80-005 OWNER'S REP.: Brad Brown. Gen Mar <br />Circle or write in annrooriate reaoonse <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes No N/A <br />2. Lift thickness: 12 inches <br />3. Compaction according to approved plan: ~ No N/ <br />A <br />4. Burning (specify extent and location): Yes No / <br />~ <br />~/y <br />5. Angle of slope: 2:1 upstream, 2:1 downstream Total = 4:1 <br />6. •Seep age (specify location, color, and approximate volume) <br /> <br />From underdrain pipes: <br />Yes <br />No ~ <br />'lV~ <br /> At isolated points on embankment slopes: Yes o N/A <br /> At natural hillside: Yes N/A <br /> Over widespread areas: Yes o N/A <br /> From downstream foundation area: Yes o N/A <br /> "Boils" beneath stream or ponded water: Yes o N/A <br />7. Cracks or scarps on crest: Yes o N/A <br />8. Cracks or scarps on slope: Yes o N/A <br />9. Sloughing or bulging on slope: Yes o N/A <br />10. •Maj or erosion problems: Yes N/A <br />11. Surface movements in valley bottom or on hillside: Yes N/A <br />12. *Erosion of toe: Yes o N/A <br />13. •Water impounded against toe: Yes N N/A <br />14. Existing embankment freeboard: See comments 3.0 feet <br />15. Increase _ CL Decrease in water level: 0.25 feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No <br />18. *Clogginq <br /> Spillway channels and pipes: Yes ~ N A <br /> Decant system: Yes No <br /> Diversion ditches: Yes ©o N/A <br />19. Cracking or crushing of pipes <br /> Spillway pipes: Yes No N A <br /> Decant system: Yes o <br />20. Trash racks clear and in place: Yes 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 <br />in these items should normally be described (extent, location, volume, etc.) in the space on <br />the back of this sheet. <br />