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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Janes <br />NPDES I.D. NO.: C -0000 21 D.P. 006 <br />FACILITY CONFIGURATION: Cross-Valley Pond <br />SITE NAME: Pond #006 <br />MINE NAME: Seneca Mine I -W Pea ody Coa Co <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 <br />GATE: 12/07/92 <br />DATE LAST INSPECTION: 09/23/92 <br />LOCATION: NW},NW}, Sec.22,T5N,R88W <br />LOCATION: 8 mi. S of Hayden, CO <br />OWNER'S REP.: Scott Williams. Suot. <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil): _ es No N/A <br />2. Lift thickness: 12 in. N/A <br />3. Compaction according to approved plan: Yes No N/A <br />4. Burning (specify extent and location): Yes No N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 N/A <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 ~ N/A <br /> At natural hillside: Yes N/A <br /> Over widespread areas: Yes N N/A <br /> From downstream foundation area: Yes N/A <br /> "Boils" beneath stream or ponded water: Yes No PJ/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 ~ N/A <br />10. *Major 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/A <br />14. Existing embankment freeboard: 11,1 feet <br />15. Increase Decrease in water level: Same fee t <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No N/A <br />18. *Clogging <br /> Spillway channels and pipes: Yes No N/A <br /> Decant system: Yes PJo V A~ <br /> Diversion ditches: Yes No A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: Yes No <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 the <br />Engineering Manager end Mine Superintendent for further evaluation. Adverse conditions <br />noted in these items should normally be described (extent, location, volume, etc.) in the <br />space on the back of this sheet. <br />