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<br />PERIODIC INSPECTION FORM <br />.r Water, Sediment, or Slurry Impoundmen^^ts <br />INSPECTOR'S NAME:' Dennis Jones DATE: ~~IV ~~ <br />NPDES Z.D. NO.: N/A <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: <br />-SITE NAME: Pond #O11A LOCATION: SW'/. NWT/,, Sec. 16, TSN, 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.: Gregg Kitchen, Gen Mqr <br />Circle OI write In aDprOOrlate reSDORSe <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />20 <br />Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />Lift thickness <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 3.0:1 upstream, 3.0:1 <br />*Seepage (specify location, color, and approximate <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />"Boils" beneath stream or ponded water: <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />*Maj or erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: (no: <br />Increase Decrease in water level: _ <br />Cracks, bulging, or erosion on upstream face: <br />visible sumps or sinkholes in slurry surface: _ <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br /> in . <br />Yes <br />No <br />Total = 6.0 :1 <br /> <br />Yes o N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Y <br />e s N N/A <br />e <br />~ <br />~i. m feet <br /> feet <br />Yes No N/A <br />_ NfA <br />Yes No N/A <br />N A ~\ <br />Yes /NO 1 <br />r7 ~/ <br />Yes No <br />_ downstream <br />volume) <br />*Maj or 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 />