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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impouadments <br />INSPECTOR'S NAME: Dennis Jones DATE: 12/7/93 <br />NPDES I.D. NO.: CO-0000221 D. P. 004 <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: 9/21/93 <br />SITE NAME: South Section 12 Pond X004 LOCATION: SW's SE's, Sec. 12, TSN, R87W <br />MINE NAME: Seneca II Mine !Peabody Coal Co.1 LOCATION: 7.1 mi. S of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-005-60 OWNER'S REP.: Scott Williams, Supt. <br />C1rCle Or Write 1D aDp rppZlBte reSpODSe <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: •Yes ~ No N/A <br />2. Lift thickness: 12 in. N/A <br />3. COmpaCtlOn according t0 approved plan: Yes No N/A <br />d. Burning (specify extent and location): Yes No ,N/A <br />5. Angle of elope: 5.1 upstream, 2.1 downstream Total = 7.1 N/A <br />6. "Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yea .No N/A <br /> At isolated points on embankment slopes: Yes ~NO~ N/A <br /> At natural hillside: Yee C.Nq- N/A <br /> Over widespread dred9: Yes `NO_ N/A <br /> From downstream foundation area: Yea Flo' N/A <br /> "Boils" beneath stream or ponded water: Yea C~ N/A <br />7. Cracks or scarps on crest: Yes LNo N/A <br />8. Cracks or scarps on elope: Yes v N/A <br />9. Sloughing or bulging on slope: Yea x'12' N/A <br />10. •Major erosion problems: Yes tL•]o,' N/A <br />11. Surface movements in valley bottom or on hillside: Yes >~ N/A <br />12. "Erosion of toe: Yes wry' N/A <br />13. "Water impounded against toe: Yes ~ N/A <br />14. Existing embankment freeboard: 5.6 feet <br />15. Increase Decrease in water level: No chance feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ~Ng N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No ~ <br />18. "Clogging <br /> Spillway channels and pipes: Yes cNo: N/A <br /> Decant system: Yes LN2~ N/A <br /> Diversion ditches: Yes LN~~ N/A <br />19. "Cracking or crushing of pipes <br /> Spillway pipes: Yes .LNO N/A <br /> Decant system: Yes ,L12- N/A <br />20. Trash racks clear and in place: ~Ye s; 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 />