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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry Impoundments <br /> ~ ~- Z G~ O 2.-. <br />' <br />INSPECTOR <br />S NAME: Dennis Jones DATE: <br />NPDES I.D. NO.: N/A // G'- <br />~~ <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTTON: l ~~ J <br />SITE NAME: Truck Wash Settling Pond LOCATION: NW1/e NEB Sec 34 TfiN R87W <br />MINE NAME: Seneca II Mine (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.: Grego Kitchen Gen Mar <br /> Circle or write in anvrooriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: ~~ inches <br />3. Compaction according to approved plan: NLA <br />4. Burning (specify extent and location): NLA <br />5. Angle of slope: upstream, downstream Total = N A <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: NLA <br /> At isolated points on embankment slopes: 1A <br /> At natural hillside: <br /> Over widespread areas: NL <br /> From downstream foundation area: N/A <br /> "Boils" beneath stream or ponded water: Yes No N/A <br />7. Cracks or scarps on crest: NSA <br />8. Cracks or scarps on slope: ~t~ <br />9. Sloughing or bulging on slope: ~A <br />10. *Major erosion problems: Yes N/A <br />11. Surface movements in valley bottom or on hillside: NL.~ ~ <br />~J <br />12. *Erosion of toe: NLA <br />13. *Water impounded against toe: <br />14. Existing embankment freeboard: (normal = 5.0') ~Q_ feet <br />15. Increase Decrease in water level: ~ cL.a ~c~ feet <br />16. Cracks, bulging, or erosion on upstream face: N/A <br />17. Visible sumps or sinkholes in slurry surface: ~~ <br />18. *Clogging <br /> Spillway channels and pipes: Yes No N/A <br /> Decant system: 1A_ <br /> Diversion ditches: NLA <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: NL <br />20. Trash racks clear and in place: Yes No 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 <br />in these items should normally be described (extent, location, volume, etc.) in the space on <br />the back of this sheet. <br />