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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impou~n/dments <br />INSPECTOR'S NAME: Dennis Jones DATE: l''~ ~ U~ <br />NPDES I.D . NO.: CO-0000221 D.P. 011 <br />I <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECT -~ <br />ION: U - <br />SITE NAME : Pond #011 LOCATION: NEB/. SW'/. 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.: Gre ap Kitchen. Gen Mgr <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil; Yes <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: 3.0:1 upstream, 2.8:1 downstream Total = 5.8 :1 <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No 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 />B. 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 N N/A <br />14. Existing embankment eeboard: (normal = 5.1') ~ feet <br />15. Increase Decrease in water level: ~ feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ~fo N/A <br />17. Visible sumps or sinkholes in slurry surface: N A <br />18. *Clogging <br /> Spillway channels and pipes: Yes ~ 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 A <br />20. place: <br />Trash racks clear and in Yes No N/A <br />21. ( <br />p t (~ ~ (1 <br />Discharge rate (gpm) LO0.Y QV~ ~Q1~Q Olx, p ~~, 1920 Oci,S ~ t(l <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 />