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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry I <br />m <br />poun <br />dments <br /> <br />' /' <br />'2 <br />G <br />/ <br />1 - © O <br />~~ <br />INSPECTOR S NAME; Dennis Jones DATE: ( <br />~ <br />NPDES I.D . NO.: CO-0000221 D.P. 009 ! O / <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: (' / _ <br />O <br />SITE NAME : Pond #009 LOCATION: SE'/, SW~/< Sec. 11, 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 />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 />Circle or Write In apo roQriate response <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: 3:I upstream, 3:1 downstream <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 />"soils" beneath stream or ponded water: <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />*Maj or 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 = 6.9') <br />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 />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />_ Yes <br />_ 12 <br />_ Yes <br />No <br />Total <br />in. <br />6:1 <br />N A <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 No <br />feet <br />~0~-5 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 />Yes No N/A <br />N A <br />~A <br />Yes No N/A <br />N A <br />Yes No N/A <br />*Maj or 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 />