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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: ~ - S 'U <br />NPDES I.D . NO.: CO-0000221 D.P. 015 ~ <br />~~ <br /> <br />FACILITY <br />CONFIGURATION: Cross-Valley Pond <br />DATE LAST , <br />INSPECTION: ' O <br />SITE NAME : Pond #015 LOCATION: N$~/, SE'/. Sec. 23 TSN, R8 W <br />MINE NAME : Seneca II-W Mine (Seneca Coal Co) LOCATION: 8 mi. S of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 OWNER'S REP.: Gregg Kitchen, Gen Mar <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: 2.5:1 upstream, 3.5:1 downstream Total = 6:1 <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underd rain 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. *Maj or 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: Ye <br />s No N/A <br />14. Existing embankment freeboard: (normal = 4.0') ~~ <br />~ <br />~ <br />"~.~ feet <br />15. Increase Decrease in water level: h v G~o ~~Q feet <br />16. Cracks, bulging, or erosion on upstream face: __ <br />Yes PY N/A <br />17. Visible sumps or sinkholes in slurry surface: NLA <br />18. *Clogging <br /> Spillway channels and pipes: Yes ~ N/A <br /> Decant system: ~A <br /> Diversion ditches: <br />19. *Cracking or crushing of pipes <br /> <br /> Spillway pipes: Yes ~ N/A <br /> Decant system: NL <br />20. Trash racks clear and in place: ~€~ No N/A <br />*Maj or 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 />