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PERIODIC INSPECTION FORM <br />iQater, Sttediment, or Slurry ImHougndmente <br />INSPECTOR'S NAME: ~2~l,N,iS U °`~S DATE: L-aG' ~ I ~~iv Ssi ThSpec~•o`~~ <br />NPDES I.D. NO.: C O-0000221 D.P. 014 A <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: _ ~/`~ <br />SITE NAME: Pond #01 4 LOCATION: NE'/a SW~.Sec. 19 TSN R87W <br />MINE NAME: Yoast Mi ne(Seneca Coal CoI LOCATION: 8.5 mi. SE of Hayden, CO <br />MINE I.D. NO.: CMLR D Permit No. C-94-082 OWNER'S REP.: Greoo Kit chen Gen Mar <br />Circle or write in aynrovriate reeoonee <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes No N/A <br />2. Lift thickness: 12 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, _ 3.5:1 downstream Total = 6.5:1 N/A <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No <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 No N/A <br />14. Existing embankment freeboard: (normal = 5.0'I ~8 feet <br />15. Increase Decrease in water level: N A feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ~o N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No NL <br />18. 'Clogging <br />Spillway channels and pipes: Y'es No N/A <br />Decant system: Yes No HL <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 NL <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 />