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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry I <br />mpoundments <br /> ' m <br />~ID ~ o ~ <br />INSPECTOR S NAME: Dennis Jones DATE: I <br /> <br />D / I ~7 <br />FACILITY CONFIGURATION: Topsoil Pile Sump DATE LAST INSPECTION: G_ !~, 0 1 <br />SITE NAME : Topsoil Pile CCC Sumo LOCATION: SW~/, NE'/.. Sec. 34, TSN. R88W <br />MINE NAME : Seneca II-W Mine (Seneca Coal Co ) LOCATION: 8 mi. S of Ha yden. CO <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 OWNER'S REP.: Grego Kitchen, Gen Mar <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: in. <br />3. Compaction according to approved plan: <br />4. Burning (specify extent and location): No <br />5. Angle of slope: upstream, downstream Total = <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: <br /> At isolated points on embankment slopes: Yes No N/A <br /> At natural hillside: Yes No N/A <br /> Over widespread areas: Yes No N/A <br /> From downstream foundation area: Yes No N/A <br /> "Boils" beneath stream or ponded water: Yes No N/A <br />7. Cracks or scarps on crest: Yes No N/A <br />8. Cracks or scarps on slope: Yes N N/A <br />9. Sloughing or bulging on slope: Yes N N/A <br />10. 'Major erosion problems: Yes No N/A <br />11. Surface movements in valley bottom or on hillside: Yes No N/A <br />12. *Erosion of toe: Yes No N/A <br />13. *Water impounded against toe: Yes N/A <br />14. Existing embankment freeboard: (normal = 6.0') ~ feet <br />15. Increase Decrease in water level: feet <br />16. Cracks, bulging, or erosion on upstream face: Yes Igo N/A <br />17. Visible sumps or sinkholes in slurry surface: NL <br />18. *Clogging <br /> Spillway channels and pipes: <br /> Decant system: N A <br /> Ditches: Yes No N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: <br /> Decant system: <br />20. Trash racks clear and in lace: <br />21. Discharge rate (gpm) ~V'~ <br />*Maj o r adverse changes in these items could cause instability and should be reported to the <br />Engin eering Manager and Mine Superintendent for further evaluation. Adverse conditions n oted in <br />these items should normally be described (extent, location, volume, etc.) in the space on the <br />back of this sheet. <br />