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PERIODIC INSPECTION FORM <br />Water, Sedisent, or Slurry Ispoundments <br />~' <br />INSPECTOR'S NAME: Dennis Jones DATE: ~~'~ `d6 <br />NPDES I.D. NO.: CO-0000221 D.P. 010 p~_S_O~ <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: {{ <br />SITE NAME: Pond #010 LOCATION: NWT/. NEB/., Sec. 8. TIN, 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.: Grego Kitchen. Gen Mgr <br />Circle Or write in aonrooriate re6pOI1Se <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: 8 in. <br />3. Compaction according to approved plan: Ye s <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 unde rdrain 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. *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 />14. Existing embankment freeboard: (normal = 10 . <br />0') .~jj.0 feet <br />15. f <br />Increase Decrease in water level: Ino G~.~auD <br />- feet <br />16. ~ <br />Cracks, bulging, or erosion on upstream face: Yes ~fo 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: <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes ~ N/A <br /> Decant system: <br />20. Trash racks clear and in place: DH. oY: ~~cp es No N/A <br />*Major adverse changes in these items could cause instability and should be reported to <br />the Engineering Manager and Mine Superintendent for further evaluation. Adverse <br />conditions noted in these items should normally be described (extent, location, volume, <br />etc.) in the space on the back of this sheet. <br />