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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Michael Altavilla DATE: 09/22/99 <br />NPDES I.D. NO.: CO-0000221 ^.P. 003 <br />FACILITY CONFIGURATION: Diked Pond DATE LAST INSPECTION: 06/3099 <br />SITE NAME: Nprthwest IQipo ,n m n #003 LOCATION: SRS{ cWk Sec. 27 T6N. RB7W <br />MINE NAME: Aen a 1T M;n (Seneca Coal Col LOCATION: 7.1 mi_ SF. of Hayden. CO <br />MINE I.D. NO.: CMl.Rn Permit No. C-80-005 OWNER'S REP.: Brad Arown, Gen Mgr- <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: es No N/A <br />2. Lift thickness: 1Z in. N/A <br /> <br />3. Compaction according to approved plan: Yes No N/A <br />4. Burning (specify extent and location): Yes No <br />5. Angle of elope: 2:1 upstream, 3el downstream Total = 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 ® A <br /> At natural hillside: Yee o N/A <br /> Over widespread areas: Yes o N/A <br /> From downstream foundation area: Yes N/A <br /> "Boils" beneath stream or ponded water: Yee N N/A <br />7. Cracks or ecarpe on crest: Yes ~ N/A <br />H. Cracks or ecarpe on elope: Yee N N/A <br />9. Sloughing or bulging on elope: Yee No N/A <br />10. *Major erosion problems: Yes No N/A <br />11. Surface movements in valley bottom or on hillside: Yes ® N/A <br />12. *Eroeion of toe: Yee ,,,1 <br />~ N/A <br />13. *Water impounded against toe: Yee o N/A <br />14. Existing embankment freeboard: see comments 4.9 feet <br />15. Increase Decrease in water level: No change feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ® N/A <br />17. Visible sumps or sinkholes in slurry surface: Yee No N A <br />18. *Clogging <br /> Spillway channels and pipes: Yee Nb N <br /> Decant a stem: <br />Y Yes <br />/ <br /> Diversion ditches: Yee ~ <br />N A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes ~ N A <br /> Decant system: Yee No / <br />20. Trash racks clear and in place: ee 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 <br />in these items should normally be described (extent, location, volume, etc.) in the apace on <br />the back of this sheet. <br />