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I ~ PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: ~ -~ ` 'U~ <br />NPDES I.D. NO,: N A <br />FACILITY CONFIGURATION: Incised Pond <br />SITE NAME: Truck Wash Settling Pond <br />MINE NAME: Seneca ZI Mine (Seneca Coal Co) <br />MINE I.D. NO.: CDMG Permit No. C-80-005 <br />DATE LAST INSPECTION: 3 'a ~ ~ U <br />LOCATION: NW'/. NE'/,, Sec. 34, T6N, R87W <br />LOCATION: 7.1 mi. SE of Hayden CO <br />OWNER'S REp.: Gregg Kitchen Gen M~cr <br />Circle or write in aonropriate re~onse <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: N A inches <br />3. Compaction according to approved plan: N A <br />4. Burning (specify extent and location): <br />5. Angle of slope: upstream, ,downstream Total = N/A <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: <br /> At isolated points on embankment slopes: NL <br /> At natural hillside: N A <br /> Over widespread areas: N A <br /> From downstream foundation area: <br /> "Boils" beneath stream or ponded water: Yes No N/A <br />7. Cracks or scarps on crest: <br />8. Cracks or scarps on slope: N[A <br />9. Sloughing or bulging on slope: <br />10. *Maj or erosion problems: Yes Q N/A <br />11. Surface movements in valley bottom or on hillside: N A <br />12. *Erosion of toe: N A <br />13. *Water impounded against toe: N A <br />14. Existing embankment freeboard: (normal = 5.0') S•O feet <br />15. Increase Decrease in water level: h,o c 4aoyR feet <br />16. Cracks, bulging, or erosion on upstream face: <br />17. Visible sumps or sinkholes in slurry surface: 13LA <br />18. *Clogging <br /> <br />Spillway channels and pipes: <br />Yes //^^ <br />[N~ N/A <br /> Decant system: N A ~~// <br /> Diversion ditches: N A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: N <br />20. Trash racks clear and in place: es No N/A <br />*Ma j or adverse changes in these items could cause instability and should be reported to the <br />Eng ineering Manager and Mine Superintendent for further evaluation. Adverse condit ions noted <br />in these items should normally be described (extent, location, volume, etc.) in the space on <br />the back of this sheet. <br />