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PERIODIC INSPECTION FORM <br /> Water, Sediment, or Slurry Impoundments <br /> ~~ S _O <br />INSPECTOR 'S NAME: Dennis Jones DATE: <br />NPDES I.D . NO.: N/A / _ G _ O~] <br />FACILITY CONFIGURATION: I ncised Pond DATE LAST INSPECTION : (~ ` I <br />SITE NAME : Truck Wash SuAA ly Pond LOCATION: NW'/. NE'/< S ec 34 T6N R87W <br />MINE NAME : Seneca Mine II (Seneca Coal Co) LOCATION: 7.2 mi. SE of Ha Vden, CO <br />MINE I.D. NO.: CDMG Permit No. C- 80-005 OWNER'S REP.: Gregg Kitchen, Gen Mar <br />Circle oI write in aAArooriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: 12 inch es <br />3. Compaction according to approved plan: Yes <br />4. Burning (specify extent and location}: No <br />5. Angle of slope: 2:1 upstream, 2:1 downstream Total = 4 :1 <br />6. *Seepage (specify Location, color, and approximate volume) <br /> From underdrain pipes: <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 = 2.7') oZ~ feet <br />15. Increase Decrease in water level: ti o G ~v-~.~Q feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: N A <br />18. *Clogging <br /> Spillway channels and pipes: Yes No N/A <br /> Decant system: <br /> Diversion ditches: Yes No N/A <br />19. *Cracking or crushing of pipes <br /> <br /> Spillway pipes: Yes No N/A <br /> Decant system: <br />20. Trash racks clear and in place: <br />21. Discharge rate (gpm) ~Z_s <br />*Maj or adverse changes in these items could cause instability and should be reported to the <br />Engineering Manager and Mine Superintendent £or further evaluation. Adverse conditions noted in <br />these items should normally be described (extent, location, volume, etc.) in the space on the <br />back of this sheet. <br />