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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br /> <br />INSPECTOR'S NAME: Dennis Jones DATE: U-a ~'~~ <br />NPDES I.D. NO.: N/A ~•~010~ <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: <br />SITE NAME: Pond #O11A LOCATION: SW% NW'/,. Sec. 16, T5N. R67W <br />MINE NAME: Yoast Mine (Seneca Coal Co) LOCATION: 8.5 mi. SE of Havden. CO <br />MINE I.D. NO.: CMLRD Permit No. C-94-082 OWNER'S REP.: Greaa Kitchen, Gen Mar <br />C1rOle OT write 1n apprODrlate reSIJOnSe <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9. <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />Foundation preparation (removal of vegetation, stumps, topsoil: <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 3.0:1 upstream, 3.0:1 downstream <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />"Boils" beneath stream or ponded water: <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />*Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Erosion o£ toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: (normal = 4.5') <br />Increase / Decrease in water level: <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br /> <br />Yes No N/A <br />Yes No N/A <br />Yes N N/A <br />Yes N N/A <br />Yes N N/A <br />Yes N N/A <br />Yes N N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br /> feet <br />~_ f <br />ee <br />t <br />Yes , <br />~ <br />` <br />l~-~ N/A <br />N/A <br />Yes 1VO N/A <br />NL?1 <br />N A <br />Spillway pipes: Yes ll~ <br />Decant system: <br />20. Trash racks clear and in lace: t~ es No <br />21 . Discharge rate (gpm) (~' ct~'Q,J.~~ ?.~~ y'{, o W ~ `~ <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 />_ Yes <br />_ in. <br />_ Yes <br />No <br />Total = 6.0:1 <br />W' I"\• ~'Q~ Yaw~4 u~ ~ C W ~w~.v <br />