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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundmen-t7s <br />INSPECTOR'S NAME: Dennis Jones _ DATE: ~`~ !-~ Z <br />NPDES I,D. NO.: CO-0000221 D.P. 011 O <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: ~:~_.~_._ <br />SITE NAME: Pond #011 LOCATION: NEB SWi/a Sec. 16, TSN, R87W <br />MINE NAME: Yoast Mine(Seneca Coal Col LOCATION: 8.5 mi SE of Hayden CO <br />MINE I.D. NO.: CMLRD Permit No C-94-082 OWNER'S REP.: Greoa Kitchen Gen Mar <br />Circle or write in aonrouriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Y~ <br />2. Lift thickness: ~ _ in . <br />3. Compaction according to approved plan: Y~ <br />4. Burning (specify extent and location): IJo <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 />8. Cracks or scarps on slope: Yes No N/A <br />9. Sloughing or bulging on slope: Yes No N/A <br />10. *Maj or 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 f eeboard: (normal = 5.1'1 ~ feet <br />15. Increase Decrease in water level: ~ feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: NLA <br />18. *Clogging <br /> Spillway channels and pipes: Yes IVO N/A <br /> Decant system: N/A <br /> Diversion ditches: 1~ <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: N/A <br />20. i <br />Trash racks clear and in place: (~~~ lpaow~ ~..~ (p ace_ <br />*Major adverse changes in these items could cause instability and shou ld be reported to <br />the Engineering Manager and Mine Superintendent for further eval uation. Adve rse <br />condi tions noted in these items should normally be described (extent, location, volu me, <br />etc.) in the space on the back of this sheet. <br />