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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Rov Karo DATE: 09/25/95 <br />NPDES I.D. NO.: CO-0000221 D.P. 006 <br />FACILITY CONFIGURATION: Cross-Vallev Pond DATE LAST INSPECTION: 06/28/95 <br />SITE NAME: Pond #006 LOCATION: NWY NWy. Sec. 22. T5N. R88W <br />MINE NAME: Seneca II-W Mine (Seneca Coal Col LOCATION: 8 mi. S of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C~82-057 OWNER'S REP.: Scott Williams. Gen Mar <br />Circle or write in anorooriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: es No N/A <br />2. Lift thickness: 12 in. N/A <br />3. Compaction according to approved plan: es No N/A <br />4. Burning (specify extent and location): Yes No /A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 N/A <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No /A <br /> At isolated points on embankment slopes: Yes N A <br /> At natural hillside: Yes N/A <br /> Over widespread areas: Yes N/A <br /> From downstream foundation area: Yes 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 o N/A <br />11. Surface movements in valley bottom or on hillside: es No N/A <br />12. *Erosion of toe: Yes o N/A <br />13. *Water impounded against toe: Yes o N/A <br />14. Existing embankment freeboard: Aooroximately 10 Eeet <br />15. Increase Decrease in water level: No chance feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ® N A <br />17. Visible sumps or sinkholes in slurry surface: Yes No <br />18. *Clogginq <br /> Spillway channels and pipes: Yes <br /> Decant system: Yes No <br /> Diversion ditches: Yes No <br />19. *Crackinq or crushing of pipes <br /> Spillway pipes: Yes Qo N/A <br /> Decant system: Yes No <br />20. Trash racks clear and in place: es No N/A <br />*Maj or 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 />