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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry Impoundments <br />INSPECTOR' S NAME: Michael Altavilla DATE: 06/28/95 <br />NPDES I.D. NO.: CO-0000221 D.P. 008 <br />FACILITY C ONFIGUR ATION: Cross-Valley Pond DATE LAST INSPECTION: 03/ 27/95 <br />SITE NAME: Pond # 008 LOCATION: SWS: NWS:. Sec. 7. TSN. R86W <br />MINE NAME: Seneca II Mine (Seneca Coal Co) LOCATION: 7.1 mi. S of Hay den. CO <br />MINE I.D. NO.: CM LRD Permit No. C-80-005 OWNER'S REP.: Scott Williams. Gen Mar <br />Circle or write in anoronriate reenonse <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: es No N/A <br />2. Lift thickness: 12 in. N/A <br />3. Compaction according to approved plan: es No N/A <br />4. Burning (specify extent and location): Yes No <br />5. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 N/A <br />6. *Seepage (specify location, color, and approximate volume) <br /> <br />From underdrain pipes: <br />Yes <br />No ,~ <br />uvin <br /> At isolated points on embankment slopes: Yes N/A <br /> At natural hillside: Yes ~ N/A <br /> Over widespread areas: Yes N/A <br /> From downstream foundation area: Yes ~ N/A <br /> "Boils" beneath stream or ponded water: Yes N/A <br />7. Cracks or scarps on crest: Yes ® N/A <br />8. Cracks or scarps on slope: Yes N/A <br />9. Sloughing or bulging on slope: Yes o N/A <br />10. *Major erosion problems: Yes o N/A <br />11. Surface movements in valley bottom or on hillside: Yes ~ N/A <br />12. +Erosion of toe: Yes N/A <br />13. *Water impounded against toe: Yes o N/A <br />14. Existing embankment freeboard: See comments 7 feet <br />15. Increase Decrease in water level: No chance feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ~ N A <br />17. Visible sumps or sinkholes in slurry surface: Yes No <br />18. *Clogging <br /> Spillway channels and pipes: Yes fl o~ <br /> Decant system: Yes o <br /> Diversion ditches: Yes No <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes /ll~o~ <br /> Decant system: Yes o ~j_(~ <br />20. Trash racks clear and in place: © No N/A <br />•Ma jor adverse changes in these items could cause instability and should be reporte d to the <br />Eng ineering Manager and Mine Superintendent for further evaluation. Ad verse conditio ns noted <br />in these items should normally be described (extent, location, volume, etc.) in the space on <br />the back of this sheet. <br />