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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 12/02/96 <br />NPDES I.D. NO.: CO-0000 221 D.P. 004 <br />FACILITY CONFIGURATION: C ross-Vallev Pond DATE LAST INSPECTION: 09/17/96 <br />SITE NAME: South Section 12 Pond # 004 LOCATION: SWy SEY, Sec. 12. TSN. R87W <br />MINE NAME: Seneca II Mine (Seneca Coal Co) LOCATION: 7.1 mi. SE of Hayden. CO <br />MINE I.D. NO.: CMLRD Perm it No. C- 80-005 OWNER'S REP.: Brad Brown. Gen Mar <br />Circle or write in appropriate response <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 />19 <br />20 <br />Foundation preparation (removal of vegetation, stumps, topsoil: Yes No N/A <br />Lift thickness: ~~, in. N/A <br />Compaction according to approved plan: es No N/A <br />Burning (specify extent and location): Yes No <br />Angle of slope: 5:1 upstream, 2:1 downstream Total = 7:1 N/A <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: Yes o N/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 />Cracks or scarps on crest: Yes N~ N/A <br />Cracks or scarps on slope: Yes o N/A <br />Sloughing or bulging on slope: Yes N N/A <br />*Major erosion problems: Yes No N/A <br />Surface movements in valley bottom or on hillside: Yes N/A <br />*Erosion of toe: Yes ~~ <br />~ N/A <br />*Water impounded against toe: Yes o N/A <br />Existing embankment freeboard: See comments 5.8 feet <br />Increase Decrease in water level: No chance feet <br />Cracks, bulging, or erosion on upstream face: Yes ~ N A <br />Visible sumps or sinkholes in slurry surface: Yes No /A <br />*Clogginq <br />Spillway channels and pipes: Yes N/A <br />Decant system: Yes ~ N/A <br />Diversion ditches: Yes o N/A <br />*Cracking or crushing of pipes <br />Spillway pipes: Yes o N/A <br />Decant system: Yes o N/A <br />Trash racks clear and in place: es 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 />