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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br /> 6 "~0 ~ ~ <br />INSPECTOR' S NAME:. Dennis Jones DATE: v <br /> <br />D <br />O <br />O <br />D <br />2 C <br />r <br />~ ~rS ` O <br />IONO <br />Va11ev <br />FACILITY <br />CONFI GURAT <br />Cross <br />POnd DATE LAST , <br />INSPECTION: <br />V <br />SITE NAME: Pond #012 LOCATION: NE'/, NWs/.,Sec. 19. T5N, R87W <br />MINE NAME: Yoast Mine (Seneca Coal Co) LOCATION: 8.5 mi. SE of Havden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-94-082 OWNER'S REP.: Gregg Kitchen, Gen Mar <br />Circle or write in aooropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: 1 2 in. <br />3. Compaction according to approved plan: Ye s <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 3.0:1 upstream, 3.0:1 downstream Total = 6.0 :1 <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No 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 o N/A <br />12. *Erosion of toe: Yes No N/A <br />13. *Water impounded against toe: Yes N/A <br />14. Existing embankment freeboard: (normal = 9.0') ~_ feet <br />15. Increase Decrease in water level: InU c.~.o.~wu_D feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ~ N/A <br />17. Visible sumps or sinkholes in slurry surface: <br />18. *Clogging <br /> Spillway channels and pipes: Yes ~6~ N/A <br /> Decant system: Yes No N/A <br /> Diversion ditches: <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: Yes No N/A <br />20. Trash racks clear and in place: Yes No 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 />