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PERIODIC INSPECTION FORM <br />water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: ~~~~"~ Z <br />NPDES I.D <br />' . NO.: CO -0000221 D.P. 016 ~ _ZL, _ Q 1 <br />G <br />E <br />ACILITY CONFIGURATI ON: Cross-Valley Pond DATE LAST INSPECTI ON: <br />SITE NAME : Pond #016 LOCATION: NEB/, SEy„ Sec. 27, TSN, R88W <br />MINE NAME : Seneca II -W Mine (Seneca Coal Co) LOCATION: 8 mi. S of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 OWNER'S REP.: Greg g Kitchen, Gen Mgr <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: in. <br />3. Compaction according to approved plan: Yes <br />I. Burning (specify extent and location): No <br />5. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 <br />~~. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: N/A <br /> At isolated points on embankment slopes: Yes ~ N/A <br /> At natural hillside: es No N/A <br /> Over widespread areas: Yes ~ NfA <br /> From downstream foundation area: ~ No N/A <br /> "Boils" beneath stream or ponded water: Yes o 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 />L0. *Maj or erosion problems: Yes No N/A <br />11. Surface movements in valley bottom or on hillside: Yes No N/A <br />i2. *Erosion of toe: Yes No N/A <br />t3. *Water impounded against toe: Yes No N/A <br />14. Existing embankment freeboard: (normal = 7.0') ~~.? £eet <br />15. Increase ~~ Decrease in water level: OaZ,, feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging ' <br /> Spillway channels and pipes: Yes ©o 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 />7.0. Trash racks clear and in place: Yes No N/A <br />*Maj or adverse changes in these items could cause instability and should be reported to the <br />Gnginee ring Manager and Mine Superintendent for further evaluation. Adverse conditions noted in <br />these items should normally be described (extent, location, volume, etc.) in the space 'on the <br />back of this sheet. <br />