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PERIODIC INSPECTION FORM <br />Seater, Sediment, or Slurry Im <br />p <br />oundment~ <br />INSPECTOR' S NAME : pE vw.,,'.t ~ °'~e-S ~ <br />y <br />DATE: l ' ~~ - ~ <br />NPDES I.D. NO.: CO-0000221 D.P. 002 <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTION: G ' Z S ,~ I <br />SITE NAME: Wadae Impoundment #002 LOCATION: NNP/a NE'/a, Sec. 34. T6N, R87W <br />MINE NAME: Seneca iI Mine (Seneca Coal CoI LOCATION: 7.1 mi. SE of Hay den CO <br />MINE I.D. NO.: CMLP,D Permit No. C -80-005 OWNER'S REP.: Greaa Kitchen , Gen Mar <br />1 <br />2 <br />3 <br />9 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />19 <br />15 <br />16 <br />17 <br />18 <br />19 <br />20 <br />Circle or write in appropriate response <br />Foundation preparation (removal of vegetation, stumps, topsoil: Yes No <br />Lift thickness: in <br />Compaction according to approved plan: Yes No <br />Burning (specify extent and location): Yes No <br />Angle of slope: upstream downstream Total = <br />`Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />"Boils" beneath stream or ponded water: <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />*Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />`Erosion of toe: <br />`Water impounded against toe: <br />Existing embankment freeboard: <br />Increase +~ Decrease in water level: <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />`Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />`Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes Qo <br />Yes No <br />Yes No <br />Yes No <br />Yes o <br />Yes No <br />Yes No <br />Yes No <br />N/A feet <br />0 5 feet <br />Yes No <br />Yes No <br />Yes <br />Yes No <br />Yes ®o <br />Yes No <br />Yes No <br />Yes No <br />NLA <br />N/A <br />NL <br />N/A <br />NL <br />N/A <br />N/A <br />NL <br />N/A <br />N/A <br />NL <br />NL <br />N/A <br />N/A <br />N/A <br />NL <br />NL <br />*Major adverse changes in these items could cause instability and should be reported to the <br />Engineering Manager and Mine Superintendent for 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 />