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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Ia~oundmente <br />INSPECTOR'S NAME: Dennis Jones DATE: 06/28/01 <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTION: 03/30/01 <br />SITE NAME: Truck Wash S uooly Pond LOCATION: NWT NE'/,. Sec. 34. T6N. R87W <br />MINE NAME: Seneca Mine II (Seneca Coal Co) LOCATION: 7.1 mi. SE of Hayden CO <br />MINE I.D. NO.: CDMG Per mit No C-80-005 OWNER'S REP.: Greaa Kitchen. Gen Mar <br />Circle or write in aoorovriate reeoonae <br />1. Foundatiorr preparation (removal of vegetation, stumps, topsoil: Yes No N/A <br />2. Lift thickness: 12 inches <br />3. Canpaction according to approved plan: Yes No N/A <br />4. Burning (specify extent and location): Yes No N/A <br />5. Angle of slope: 2:1 upstream, 2:1 downstream Total = 4 :1 <br />6. `Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No N~ <br /> At isolated points on embankment slopes: Yes N/A <br /> At natural hillside: Yes No N/A <br /> Over widespread areas: Yes No N/A <br /> From downstream foundation area: Yes N 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 N N/A <br />19. Existing embankment freeboard: _ (normal = 2.7') 2.7 feet <br />15. Increase Decrease in water level: no change feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: _ Yes No NL <br />18. `Clogging <br /> Spillway channels and pipes: Yes No N/A <br /> Decant system: Yes o NL <br /> Diversion ditches: Yes No N/A <br />19. `Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: Yes o NL <br />20. Trash racks clear and in place: Yes No <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 />