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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundment t~Cs <br />INSPECTOR'S NAME: Dennis Jones DATE: ~ 1 V ~ 0 <br />NPDES I.D. NO.: CO-0000221 D.P. 014 <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: <br />SITE NAME: Pond #014 LOCATION: NE'/, SW~/.:Sec. 19, TSN, R87W <br />MINE NANfE: 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 Mir <br />Circle or write in appropriate re~onse <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: i n. <br />3. Compaction according to approved plan: Yes <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 3.0:1 upstream, 3.5:1 downstream Total = 6.5 :1 <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 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. ring embankment freeboard; (normal = 5.0') <br />Ex i <br />s 6•~ feet <br />15. ~ <br />/ <br />V Increase Decrease in water level: d~ feet <br />16. Cracks, bulging, or erosion on upstream face: Yes CNO, N/A <br />17. Visible sumps or sinkholes in slurry surface: N A <br />18. *Clogging <br />Spillway channels and pipes: Yes No N/A <br />Decant system: <br />Diversion ditches: ~A <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yes No N/A <br />Decant system: N A <br />20. Trash racks clear and in Pjlace: (~ es No N/A <br />21. Discharge rate (gpm) (,yatlQy~ (@ve. .~ T~ be~cw t5c tiy~,{Z <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 />