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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Immpoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 3 'a ~' OS <br />NPDES I.D. NO.: N A 1 O c~ <br />O ~ <br />"~ <br />FACILITY CONFIGURATION: Incised Pond DATE LAST l <br />INSPECTION: r <br />0 <br />SITE NAME : Truck Wash Sup ply Pond LOCATION: NW'/. NE'/.. Sec. 34. T6N, R87W <br />MINE NAME : Seneca Mine II (Seneca Coal Co) LOCATION: 7.1 mi. SE of Hayden, CO <br />MINE Z.D. NO.: CDMG Permi t No. C-80-005 OWNER'S REP.: GrecLg Kitchen. Gen Mar <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: 12 inches <br />3. Compaction according to approved plan: Yes <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 2:1 upstream, 2:1 downstream Total = 4 :1 <br />6. *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 />8. 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 />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 freeboard: (normal = 2.7') a~•~ feet <br />15. Increase Decrease in water level: feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ,~ <br />1~ N/A <br />17. Visible sumps or sinkholes in slurry surface: <br />18. *Clogging <br /> Spillway channels and pipes: Yes ~ N/A <br /> Decant system: <br /> Diversion ditches: Yes No N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: N A <br />20. Trash racks clear and in place: 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 />