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PERIODIC INSPECTION FORM <br />~ Water, Sediment, or Slurry Impou <br />ndm <br />e <br />nts <br /> <br />' -7 <br />- <br />7 <br />/ <br />~~ <br />INSPECTOR S NAME: Dennis Jones DATE: l7 L <br />NPDES I.D. NO.: CO-0000221 D.P. 014 <br />_~~ -~ <br />FACILITY C ONFIGURATION: Cross-Vallev Pond DATE LAST INSPECTI ON: ~ <br />SITE NAME: Pond #014 LOCATION: NE'/, SW~/„ Sec. 19, TSN R87W <br />MINE NAME: Yoast Mine(Seneca Coal Co) LOCATION: 8.5 mi. SE of Havden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-94-082 OWNER'S REP.: Greg g Kitchen Gen Mar <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: i n. <br />3. Compaction according to approved plan: Ye s <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 3.0:1 upstream, 3.5:1 downstream Total = 6.5 :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 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 reeboard: (normal = 5.0') 7..5 feet <br />15. Increase Decrease in water level: a~• i feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: NL <br />18. *Clogging <br /> Spillway channels and pipes: Yes No N/A <br /> Decant system: N A <br /> Diversion ditches: N A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: N A <br />20. Trash racks clear and in place: Y s 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 />