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n ~ f <br />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Rov Karo DATE: 09/25/95 <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: _Lncised Pond DATE LAST INSPECTION: 06/28/95 <br />SITE NAME: Truck Wash Suooly Pond LOCATION: NW Y.. NEST, Sec 34. T6N. R87W <br />MINE NAME: Seneca Mine II (Seneca Coal Co) LOCATION: 7 mi. SE of Hayden, CO <br />MINE I.D. NO.: CDMG Permit No. C-80-005 OWNER'S REP.: Scott Williams. Gen Mar <br />Circle or write in anorooriate reaoonae <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: ~ No N/A <br />2. Lift thickness: 12 inc hes <br />3. Compaction according to approved plan: es No N/A <br />9. Burning (specify extent and location): Yes No <br />5. Angle of slope: 2:1 upstream, 2:1 downstream Total = 4:1 <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No <br /> At isolated points on embankment slopes: Yes N/A <br /> At natural hillside: Yes o N/A <br /> Over widespread areas: Yes N/A <br /> From downstream foundation area: Yes N/A <br /> "Boils" beneath stream or ponded water: Yes o N/A <br />7. Cracks or scarps on crest: Yes o N/A <br />8. Cracks or scarps on slope: Yes o N/A <br />9. Sloughing or bulging on slope: Yes o N/A <br />10. *Maj or erosion problems: Yes o N/A <br />11. Surface movements in valley bottom or on hillside: Yes o N/A <br />12. *Erosion of toe: Yes o N/A <br />13. *Water impounded against toe: Yes o N/A <br />14. Existing embankment freeboard: See comments 3.0 feet <br />15. Increase X Decrease in water level: 0.5 feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ® N A <br />17. Visible sumps or sinkholes in slurry surface: Yes No N/ <br />18. *Clogginq <br /> Spillway channels and pipes: Yes Q° N A <br /> Decant system: Yes No / <br /> Diversion ditches: Yes 0° N A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes Q N/A <br /> Decant system: Yes No <br />20. Trash racks clear and in place: Yes No /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 <br />in these items should normally be described (extent, location, volume, etc.) in the space on <br />the back of this sheet. <br />