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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Im~pioundm`~ents <br />INSPECTOR'S NAME: Dennis Jones DATE: `"I -~ d ~~ 2 <br />NPDES I.D. NO.: CO-0000221 D.P. 006 <br />FACILITY CONFIGURATION: Cross-Valley Pond <br />SITE NAME: Pond #006/Pre-Settling Basin <br />MINE NAME: Seneca II-W Mine (Seneca Coal Co) <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 <br />DATE LAST INSPECTION: ~ ~ l(- <br />LOCATION: NWy. NW'/,, Sec. 22, T1SN, R88W <br />LOCATION: 8 mi. S of Hayden, CO <br />OWNER'S REP.: Gregg Kitchen, Gen Mgr <br />Circle or write in appropriate response <br />i. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />_. Lift thickness: 12 in. <br />3. Compaction according to approved plan: Yes <br />~1. Burning (specify extent and location): No <br />5. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 <br />5. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: 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 />d. 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 />I1. 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 />tel. Existing embankment freeboard: (normal = 8.8') ~ feet <br />15. Increase Decrease in water level: itiA CKoA~~ feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ~ N/A <br />].7. 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: Yes ~ N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes ~ N/A <br /> Decant system: N/A <br />70. Trash racks clear and in place: Ye No N/A <br />"Major adverse changes in these items could cause instability and should be reported to the <br />Engineering 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 />