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PERIODIC INSPECTION FORM <br />II(^~Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: U.lE h~h~$ ~ o~.2S DATE: ~'~G'~ <br />NPDES Z D NO ~ CO-0000221 D P 012 <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: 6 'ZO'O <br />SITE NAME: Pond #012 LOCATION: NE'/a NW'/a Sec. 19. TSN, R87W <br />MINE NAME: Yoast Mine(Seneca Coal Co) LOCATION: 8.5 mi. SE of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-94-062 OWNER'S REP.: Greo a Kitchen Gen Mar <br />Circle or write in aovroorinte response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes No N/A <br />2. Lift thickness: ~ in. N/A <br />3. Compaction according to approved plan: Yes No N/A <br />4. Burning (specify extent and location): Yes No N/A <br />5. Angle of slope: 3.0:1 upstream, _ 3.0:1 downstream Total = 6.0:1 N/A <br />6. 'Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No /A <br /> At isolated points on embankment slopes: Yes o N/A <br /> At natural hillside: Yes ~ <br />No N/A <br /> Over widespread areas: N/A <br /> From downstream foundation area: ~ <br />Yes No N/A <br /> "Boils" beneath stream or ponded water: Yes No N/A <br />7. Cracks or scarps on crest: Yes N~6 N/A <br />8. Cracks or scarps on slope: Wl i ov oQ~ So, ~ C. v~ ~n- S Yes No N/A <br />9. Sloughing or bulging on slope: Yes N6~ 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 No N/A <br />19. Existing embankment freeboard: (norm al = 8.0'1 ~•n feet <br />15. Increase Decrease in water level: lto c.~..c~K.1 D_ feet <br />16. Cracks, bul in <br />g g, or erosion on upstream face: <br />Yes <br />~ <br />No <br />N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No N~ <br />18. *Clogging <br /> Spillway channels and pipes: Yes No N/A <br /> Decant system: Yes N N~Pr <br /> Diversion ditches: Yes No NL <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: Yes No N/A <br />20. Trash racks clear and in place: Yes No N/A <br />*Major adverse changes in these items could cause instability and should be reported to <br />the Engineering Manager and Mine Superintendent for further evaluation. Adverse <br />conditions noted in these items should normally be described (extent, location, volume, <br />etc.) in the space on the back of this sheet. <br />