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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry impoundments <br /> 3 '~ - ~~ <br />INSPECTOR 'S NAME: Dennis Jones DATE: <br />Co <br />NPDES I.D , NO.: N A 1 <br />- J <br />' ~ <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INS PECTION: <br />SITE NAME ; Pond #O11A ~ LOCATION: SW'/, NW'/., Sec. 16, T5N, R87W <br />MINE NAME : Yoast Mine (Seneca Coal Co) LOCATION: 8 5 mi. SE of Hay den. CO <br />MINE I.D. iVO.: CMLRD Permit No. C-94-082 OWNER'S REP.: Gregg Kitchen . Gen Mgr <br />Circle Or Wrlte In apDTOpriate reSpOnae <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7. <br />8. <br />9. <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />20 <br />Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />Lift thickness: in. <br />Compaction according to approved plan: Yes <br />Burning (specify extent and location): No <br />Angle of slope: 3.0:1 upstream, 3.0:1 downstream Total = 6.0:1 <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: N A <br />At isolated points on embankment slopes: Yes No <br />At natural hillside: Yes No <br />Over widespread areas: Yes No <br />From downstream foundation area: Yes No <br />"Boils" beneath stream or ponded water: Yes No <br />Cracks or scarps on crest: Yes No <br />Cracks or scarps on slope: Yes No <br />Sloughing or bulging on slope: Yes No <br />*Maj or erosion problems: Yes No <br />Surface movements in valley bottom or on hillside: Yes No <br />*Erosion of toe: Yes No <br />*Water impounded against toe: Yes No <br />Existing embankment freeboard: (normal = 4.5') feet <br />Increase Decrease in water level: feet <br />Cracks, bulging, or erosion on upstream face: Yes No <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: Yes No <br />Decant system: <br />Diversion ditches: N/A <br />*Cracking or crushing of pipes <br />Spillway pipes: Yes No <br />Decant system: <br />Trash racks clear and in place: Yes No <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />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 /> <br />