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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Is)poundments <br />INSPECTOR' S NAME : Dennis Jones DATE : / O ^ ~ ~ ^~ S <br />NPDES I.D . NO.: NA ^~ ~^aC <br />J <br />FACILITY CONFIGURATION: Top soil Pile Sump DATE LAST INSPECTION: <br />SITE NAME : Topsoil Pile CCC Sump LOCATION: SW's NEi/.. Sec. 34. TSN. R88W <br />MINE NAME : Seneca II-W Mine (Seneca Coal Co) LOCATION: 8 mi. S of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 OWNER'S REP.: Gregg Kitchen. 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: _ <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: upstream, downstream Total = <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />"Boils" beneath stream or ponded water: <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />*Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: (normal = 6.0')'1• S <br />_(,L, Increase Decrease in water level: <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />Yes <br />NO <br />in. <br />NL <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes <br />feet <br />D • S feet <br />Yes No <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />NL <br />~A <br />Yes No N/A <br />N[A <br />NL <br />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 in <br />these items should normally be described (extent, location, volume, etc.) in the space on the <br />back of this sheet. <br />