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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 06/20/01 <br />NPDES I.D. NO.: CO-000022 1 D.P. 009 <br />FACILITY CONFIGURATION: Cros s-Vall ey Pond DATE LAST INSPECTION: 03/15/01 <br />SITE NAME: Pond 11009 LOCATION: SE'/ SWYa. Sec. 11. TSN. R88W <br />MINE NAME: Seneca II-W Mine (Senec a Coal Co) LOCATION: 8 mi. S of Hayden CO <br />MINE I.D. NO.: CMLRD Permit No. C- 82-057 OWNER'S REP.: Grea a Kitchen Gen Mar <br />Circle or write in aoorovriate reaoonse <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 />9. Burning (specify extent and location): Yes 1:34 N(A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 N/A <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No iL <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 NIA <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 = 6.9') 9.9 feet <br />15. Increase x Decrease in water level: 3.0 feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ~ N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No !L <br />18. *Clogging <br /> Spillway channels and pipes: Yes No N(A <br /> Decant system: Yes No NL <br /> Diversion ditches: Yes No N/A <br />19. *Cracking or crushing of pipes <br /> <br /> Spillway pipes: Yes No N/A <br /> Decant system: Yes o NL <br />20. Trash racks clear and in place: Yes No N/A <br /> <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 />