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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry I <br />mpoundments <br />' Q <br />~~_Q <br />INSPECTOR S NAME: Dennis Jones DATE: ` <br />D O <br />D <br />O <br />6 <br />D O <br />P ~ - I I~ ~ <br />FA <br />ILITY <br />C POnd <br />IGURAT <br />I ON <br />Cross <br />Va11ev <br />ON DATE LAST INSPECTI ON: 1 <br />SITE NAME: Pond #016 LOCATION: NE'/. SEA/, Sec. 27 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.: Greg g Kitchen, Gen Mar <br />Circle Or WYlte in app rpprlate reSpOn62 <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 />21 <br />Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />Lift thickness: in. <br />Compaction according to approved plan: Yes <br />Burning (specify extent and location): ivo <br />Angle of slope: 3:1 upstream, 3:1 downstream Total = 61 <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: mV <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 = 6.8' <br />Increase Decrease in water level; k o c ci~q Q <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in slurry su rface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />Discharge rate (gpm) <br />N A <br />Yes No N/A <br />e No N/A <br />es o N/A <br /> N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />es No N/A <br />Yes o N/A <br />Ye <br />G <br />~ No N/A <br />• feet <br /> feet <br />Yes loo N/A <br />1A <br />Yes r Nod N/A <br />N/?a <br />Yes ~ N/A <br />N A <br />~Ye~s No N/A <br />~+~_ <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 />