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PERIODIC INSPECTION FORM <br />LVater, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis .Tones DATE: f L~ _~ <br />NPDES I.D. NO.: CO-0000221 D.P. 011 <br />_' ~ ~~ <br />FACIL ITY C ONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: <br />SITE NAME: Pond #011 LOCATION: NE'/a SWy,Sec. 16, TSN R87W <br />MINE NAME: Yoast Mine(Seneca Coal Co) LOCATION: 8.5 mi. SE of Hayden CO <br />MINE I.D. NO.: CMLRD Permit No. C- 94-082 OWNER'S REP.: Greaa Kitchen, Gen Mar <br />Circle or write in aooroDriate 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: Yes <br />Lift thickness: 8 <br />Compaction according to approved plan: Yes <br />Burning (specify extent and location): No <br />Angle of slope: 3.0:1 upstream, 2.8:1 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 />*Maj or erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Exrst'ng embankment freeboard: (normal = 5.1') <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: D ~ ~ D Ow ; ~.. 60 ~tcQ <br />in. <br />5.8:1 <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 />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 />Yes No N/A <br />Yes No N/A <br />Yes N N/A <br />v <br />G• feet <br />O• ~ feet <br />Yes ~ N/A <br />Yes No N/A <br />~A <br />Yes No N/A <br />N A <br />*Major adverse changes in these items could cause instability and should be reported to <br />the Engineering Manager and Mine Superintendent for further evaluation. Adverse <br />conditions noted in these items should normally be described (extent, location, volume, <br />etc.) in the space on the back of this sheet. <br />