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<br />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Michael Altavilla DATE: 03/22/96 <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: Incised Pond DATE LAST INSPECTION: _12/04/95 <br />SITE NAME: Truck Wash Settlino Pond LOCATION: NWy, NEY. Sec 34. T6 N. R87W <br />MINE NAME: Seneca II Mine (Seneca Coal Col LOCATION: 7 mi. SE of Hayden. CO <br />MINE I.D. NO.: CDMG Permit No. C-80.005 OWNER'S REP.: Brad Brown. Gen Mar <br />Circle or write in annronriate reenonee <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes No N/A <br />2. Lift thickness: N/A inches <br />3. Compaction according to approved plan: Yes No <br />9. Burning (specify extent and location): Yes No /A <br />5. Angle of slope: upstream, downstream Total = N/A <br />6. 'Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No <br /> At isolated points on embankment elopes: Yes No <br /> At natural hillside: Yes No <br /> Over widespread areas: Yes N/A <br /> From downstream foundation area: Yes N/A <br /> "Boils" beneath stream or ponded water: Yes o N/A <br />7. Cracks or scarps on crest: Yes No /A <br />8. Cracks or scarps on slope: Yes No /A <br />9. Sloughing or bulging on slope: Yes No / <br />10. *Maj or erosion problems: Yes No N/A <br />11. Surface movements in valley bottom or on hillside: Yes No <br />12. 'Erosion of toe: Yes No <br />13. 'Water impounded against toe: Yes No / <br />19. Existing embankment freeboard: See comments 5.0 feet <br />15. X Increase Decrease in water level: 0.5 feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ~ N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No N/A <br />18. 'Clogging <br /> Spillway channels and pipes: Yea o <br /> Decant system: Yes o <br /> Diversion ditches: Yes No <br />19. 'Cracking or crushing of pipes <br /> Spillway pipes: Yes ©o N <br /> Decant system: Yes No Id/A <br />20. Trash racks clear and in place: ~ No N/A <br />*Maj or 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 <br />in these items should normally be described (extent, location, volume, etc.) in the space on <br />the back of this sheet. <br />