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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Rov Karo <br />NPDES I.D. NO.: C0~0000221 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 Col <br />MINE I.D. NO.: CMLRD Permit No. C-80-005 <br />DATE: 09/25/95 <br />DATE LAST INSPECTION: 06/28/95 <br />LOCATION: SWy SE y, Sec. 12, TSN. R87W <br />LOCATION: 7.1 mi. S of Hayden, CO <br />OWNER'S REP.: Scott Williams. Gen Mar <br />Circle or write in aonrooriate reenonse <br /> <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: ® No N/A <br />2. Lift thickness: 12 in. N/A <br />3. Compaction according to approved plan: es No N/A <br />4. Burning (specify extent and location): Yes No /A <br />5. Angle of slope: 5:1 upstream, 2:1 downstream Total = 7:1 N/A <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes o N/A <br /> At isolated points on embankment slopes: Yes N/A <br /> At natural hillside: Yes 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 N/A <br />7. Cracks or scarps on crest: Yes ~ <br />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. *Major erosion problems: Yes o N/A <br />11. Surface movements in valley bottom or on hillside: Yes N/A <br />12. *Erosion of toe: Yes N/A <br />13. *Water impounded against toe: Yes ~ N/A <br />19. Existing embankment freeboard: See comments 5.2 feet <br />15. Increase Decrease in water level: No chance feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ® N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No /® <br />18. *Clogging <br /> Spillway channels and pipes: Yes ~ N/A <br /> Decant system: Yes N/A <br /> Diversion ditches: Yes ® N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes ~ N/A <br /> Decant system: Yes 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 <br />in these items should normally be described (extent, location, volume, etc.) in the space on <br />the back of this sheet. <br />