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PERIODIC INSPECTION FORM <br />LOater, Sediment, or Slurry ImHoundments <br />INSPECTOR'S NAME: Qv. v. S ., O'^coS DATE: II ^ S^Q L <br />NPDES I.D. NO.: CO-0000221 D.P . 014 <br />G <br />FACILITY CONFIGURATION: Cross-Vallev Pond DATE LAST INSPECTION: ~ O <br />~~ <br />SITE NAME: Pond #014 LOCATION: NE'/ SWYa Sec 19 TSN Ra7W_ <br />MINE NAME: Yoast Mine(Seneca Coal Co> LOCATION: 9.5 mi. SE o f Hayden CO <br />MINE I.D, NO.: CMLRD Permit No C -94-082 OWNER'S REP.: Gregg Ki tchen. Gen Mgr <br />Ci cl or ite 'n a ro r'at s on e <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7. <br />S. <br />9. <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />is <br />19 <br />20 <br />Foundation preparation (removal of vegetation, stumps, topsoil: <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 3.0:1 upstream, 3.5:1 downstream <br />*Seepage (specify location, color, and approximate volume) <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 />"Roils" beneath stream or ponded water: <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />*Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Exis rng embankment freeboard: (normal = 5.0'i <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 />_ Yes <br />_ in. <br />Yes <br />NQ <br />Total = 6.5:1 <br />1_`7LA <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 />Yes No N/A <br />Yes N N/A <br />0~6 feet <br /> feet <br />Yes No N/A <br />~A <br />Yes loo N/A <br />~A <br />N/A <br />Yes No <br />N <br />Yes No <br />N/A <br />N/A <br />*Major 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 />