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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry I~m2poundments <br />INSPECTOR'S NAME: Dennis Jones DATE: sJ' ~ - O <br />NPDES I.D. NO.: CO-0000221 D.P. 006 <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: ID ^ Zd ^ O 3 <br />SITE NAME: Pond #006/Pre-Settling Basin LOCATION: NW~~ NW'/., Sec. 22, TSN, RSSW <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 Mqr <br />Circle ox write in appropriate reaponae <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: 12 in. <br />3. Compaction according to approved plan: Yes <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: N/A <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 No N/A <br />9. Sloughing or bulging on slope: Yes No 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 No N/A <br />14. Existing embankment freeboard: (normal = 7.0') ~. ~ feet <br />15. ~ Increase Decrease in water level: ~ feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />1S. *Clogging <br /> Spillway channels and pipes: Yes No N/A <br /> Decant system: N/A <br /> Diversion ditches: Yes Ai N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: N/A <br /> <br />20. Trash racks clear and in place: Yes 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 in <br />these items should normally be described (extent, location, volume, etc.) in the space on the <br />back of this sheet. <br />