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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones <br />NPDES I.D. NO.: CO-0000221 D. P. 004 <br />FACILITY CONFIGURATION: Cross-Valley Pond <br />SITE NAME: South Section 12 Pond #004 <br />MINE NAME: Seneca II Mine (Seneca Coal Co) <br />MINE I.D. NO.: CMLRD Permit No. C-80-005 <br />DATE: ~O^G-o3 <br />DATE LAST INSPECTION: ~- `- 0 3 <br />LOCATION: SW'/, SE's, Sec. 12, T5N, R87W <br />LOCATION: 7.1 mi. SE of Hayden, CO <br />OWNER'S REP.: Gregg Kitchen, Gen Mgr <br />Circle or write is 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 o 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 freeboard: (normal = 4.9') ~ feet <br />15. Increase Decrease in water level: 41,o G~aNye_ 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 /> <br />Spillway pipes: <br />® <br />~ _n <br />N/A (~ <br /> Decant system: Yes o N/A / <br />20. Trash racks clear and in place: es 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 />