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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry Impoundme <br />n <br />ts <br /> - / <br />~ <br />I <br />_ D <br />INSPECTOR 'S NAME: Dennis Sones DATE: v <br />NPDES I.D . NO.: CO-0000221 D.P. 010 ! _ I ~ D~ <br />FACILITY CONFIGURATION: Cross-Vallev Pond DATE LAST INSPECT ION: O <br />SITE NAME : Pond #010 LOCATION: NW'/. NEB/„ Sec 8 TSN R87W <br />MINE NAME : Yoast Mine (Seneca Coal Co) LOCATION: 8.5 mi. SE of Hav den. CO <br />MINE I.D. NO.: CMLRD Permit No. C-94-082 OWNER'S REP.: Greg o Kitchen , Gen Mgr <br />Circle Or Wr.l to in apprppilatE reSpORSe <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yed <br />2. Lift thickness: ~ 8 i n. <br />3. Compaction according to approved plan: Yes <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 3.75:1 upstream, 3.75:1 downstream Total = 7.5 :1 <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes N/A <br /> At isolated points on embankment slopes: Yes o 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. *Maj or 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 = 10.0') ~y•~ feet <br />15. Increase ~ Decrease in water level: ~•~ feet <br />16. Cracks, bulging, or erosion on upstream face: Yes Lwro N/A <br />17. Visible sumps or sinkholes in slurry surface: - NLA <br />18. *Clogging <br /> Spillway channels and pipes: Yes ~ N/A <br /> Decant system: <br /> Diversion ditches: N A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: <br /> <br />20. [f~~ <br />Trash racks clear and in <br />place: dN OML <br />p(C <br />~, <br />Yes No <br />N/A <br />21. r <br />l~ n 1 <br />~^ <br />t <br />Discharge rate (gpm) (V Q,TQV- QV E1.Q~ 7~_ q¢Wap Or4a c..hc~„gg <br />*Maj or 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 />