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PfiRIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 3' ~ '~ <br />NPDES I.D. NO.: CO-0000221 D.P. 010 <br />FACILITY CONFIGURATION: Cross-Vallev Pond DATE LAST INSPECTION: ~'~~~'~' <br />SITE NAME: Pond #010 LOCATION: NW'/. NE`/, Sec. 8. TSN, R87W <br />MINE NAME: Yoast Mine (Seneca Coal Co) LOCATION: 8.5 mi. SE of Hayden CO <br />MINE I.D. NO.: CMLRD Permit No. C-94-082 OWNER'S REP.: Greaa Kitchen. Gen Mar <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: 8 in. <br />3. Compaction according to approved plan: Ye s <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 3.75:1 upstream, 3.75:1 downstream Total = 7. 5:1 <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 No N/A <br />12. *Erosion of toe: Yes No N/A <br />13. *Water impounded against toe: Yes N N/A <br />14. Existing embankment freeboard: normal = 10.0' [O•d feet <br />15. Increase Decrease in water level: ~'1c.1 e Q~~ _ feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry s urface: <br />18. *Clogging <br /> Spillway channels and pipes: Yes No N/A <br /> Decant system: NL <br /> Diversion ditches: <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: <br />20. Trash racks clear and in place: es No N/A <br />*Maj or 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 />