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PERIODIC INSPECTION FORM <br /> Water, Sedimeat, or Slurry Impoundments <br /> <br />INSPECTOR <br />'S NAME: Dennis Jones q <br />DATE: ~` ~ ` 0 t <br />NPDES I.D . NO.: CO-0000221 D.P. 004 <br />~~~~`~ <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: <br />SITE NAME : South Section 12 Pond #004 LOCATION: SW~/, SE'/„ Sec. 12, TSN, R87W <br />MINE NAME : Seneca II Mine (Seneca Coal Co) LOCATION: 7.1 mi. SE of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-80-005 OWNER'S REP.: Gregg Kit chen, Gen Mgr <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: 12 <br />3, Compaction according to approved plan: Yes <br />4. Burning (specify extent and location): No <br />5, Angle of slope: 5:1 upstream, 2:1 downstream Total 7:1 <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: 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 scalps 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. *EYOS7.On Of toe: Yes No N/A <br />13. *Water impounded against toe: Yes No N/A <br />14. Existing embankment freeboard: (normal = 4. 9') L) p <br />l feet <br />15. 1 <br />Increase Decrease in water level: kc1 C.KO 4y Q _ feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging <br /> Spillway channels and pipes: Yes No N/A <br /> Decant system: Yes No N/A <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 No N/A <br />20. Trash racks clear and in place: Yes 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 in <br />these items should normally be described (extent, location, volume, etc.) in the space on the <br />back of this sheet. <br />