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<br />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones <br />NPDES I.D. NO.: CO-0000221 D.P. 005 <br />FACILITY CONFIGURATION: Cross-Valley Pond <br />SITE NAME: Pond #005 <br />MINE NAME: Seneca Mine fI-W Peabody oa Co <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 <br />DATE: <br />DATE LAST INSPECTION: 09123192 <br />LOCATION: NW'/. SW'/. SEC 10 T5N R88W <br />LOCATION: 8 mi. S of Nayden, C <br />OWNER'S REP.: Scott '.dilliams. Supt. <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: es No N/A <br />4. Burning (specify extent and location): Yes No N <br />5. Angle of slope: 3.5 upstream, 2.5 downstream Total = 6:1 N/A <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes ~o N/A <br /> At isolated points on embankment slopes: Yes ® N/A <br /> At natural hillside: Yes ® ~l/A <br /> Over widespread areas: Yes C1~ N/A <br /> From downstream foundation area: Yes ® N/A <br /> "Boils" beneath stream or ponded water: Yes ~ti Pl/A <br />7. Cracks or scarps on crest: Yes No <br />8. Cracks or scarps on slope: Yes No ~-n/.w <br />9. Sloughing or bulging on slope: Yes !o N/A <br />10. *Major erosion problems: - Yes No N/A <br />11. Surface movements in valley bottom or on hillside: Yes ~ N/A <br />12. *Erosion of toe: Yes !o N/A <br />13. *Water impounded against toe: Yes ~ N/A <br />14. Existing embankment freeboard: 21.6 fee t <br />15. ~_ Increase Decrease in water level: See comments ~_ fee t <br />16. Cracks, bulging, or erosion on upstream face: Yes tl 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 .;o N/ <br /> Diversion ditches: Yes No N/ <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: es No N/A <br />*Fta jor adverse changes in these items could cause instability and should be reported to the <br />Eng ineering Manager and Mine Superintendent for further evaluation. Adverse conditio ns <br />not ed in these items should normally be described (extent, location, volume, etc .) in the <br />spa ce on the back of this sheet. <br />