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P&RIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry Im <br />pound <br />men <br />t <br />s <br /> <br />' l <br />~ <br />Gl <br />/1 <br />C <br />~~ <br />~ v <br />INSPECTOR S NAME: Dennis Jones DATE: l <br />v <br />v <br />NPDES I.D. NO ..: CO-0000221 D.P. 016 / ~ <br />O~ <br />FACILITY C ONFIGURATION: Cross-Valley Pond ,I <br />DATE LAST INSPECTION: C~ ^ <br />SITE NAME: Pond #016 LOCATION: NE'/, SE'/. Sec. 27. TSN, R88W <br />MINE NAME: Seneca II-W Mine (Seneca Coal Co ) LOCATION: 8 mi. 5 of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 OWNER'S REP.: Gre44 Kitchen. Gen Mar <br />Circle or write in appropriate response <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />Lift thickness: in. <br />Compaction according to approved plan: Yes <br />Burning (specify extent and location): No <br />Angle of slope: 3:1 upstream, 3:1 downstream Total = 6_1 <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />"Boils" beneath stream or ponded water: <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />*Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: (normal = 6.8')1 <br />Increase Decrease in water level: In c~ c.NCi.Va1~ <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />N A <br />Y s Pi N/A <br />Yes No N/A <br />es ~ N/A <br />~~ NO N/A <br />Yes I~ N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br /> <br />~e n <br />N/A Qy <br />Yes No N/A / <br />Yes No N/A <br /> feet <br />_ feet <br />Yes Q N/A <br />NL <br />Yes Q N/A <br />1$ <br />~A <br />Spillway pipes: Yes <br />Decant system: ~A <br />20. Trash racks clear and in place: ~Y esl <br />Q N/A <br />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 />