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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoun~dime~nlt~sl <br />INSPECTOR'S NAME: Dennis Jones DATE: 1'd~a~~~ S <br />NPDES I.D . NO.: CO-0000221 D.P. 010 / G ` O <br />6 <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: <br />~ n <br />SITE NAME : Pond #010 LOCATION: NW'/, NE%, Sec. 8, T5N, 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-94-082 OWNER'S REP.: Grea a Kitchen, Gen Mar <br />Circle or write in aoprooriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: 8 in . <br />3. Compaction according to approved plan: Yes <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 3.75:1 upstream, 3.75:1 downstream Total = 7.5: 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. *WateY impounded dgalnSt tOe: Yes N N/A <br />14. Existing embankment freeboard: (normal = 10.0') 16.1 feet <br />15. Increase / Decrease in water level: Q•~ feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No 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: NL <br />19. *Cracking or crushing of pipes <br /> <br /> Spillway pipes: Yes ~ N/A <br /> Decant system: NL <br />20. Trash racks clear and in place: ~ ~ i 'c es No N/A <br />*Maj or 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 />conditions noted in these items should normally be described (extent, location, volu me, <br />etc. ) in the space on the back of this sheet. <br />