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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundmen~t]s <br />INSPECTOR'S NAME: Dennis Jones DATE: ~0 ~~~ l <br />NPDES I.D. NO.: CO-0000221 D.P. 017 <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: ~ ~ ~ ~ <br />SITE NAME• Pond #017 LOCATION: SW1/a NE1/ Sec. 34 T5N, R 8W <br />MINE NAME: Seneca II-W Mine (Seneca Coal Co) LOCATION: 8 mi. S of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 OWNER'S REP.: Gregg Kitchen, Gen Mar <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: in. <br />3. Compaction according to approved plan: Yes <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 3:1 upstream, 3:1 .downstream Total = 6:1 <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: N A <br />Yes <br />No <br />N/A <br /> At isolated points on embankment slopes: Y i <br />No N/A <br /> At natural hillside: es <br />Yes ~ N/A <br /> Over widespread areas: Yes No N/A <br /> From downstream foundation area: Yes o N/A <br /> "Boils" beneath stream or ponded water: <br />7. Cracks or scarps on crest: Yes <br />Y No <br />N N/A <br />N/A <br />8. Cracks or scarps on slope: es <br />Y o <br />N N/A <br />9 Sloughing or bulging on slope: es o <br />. <br />10. *Major erosion problems: Yes <br />Y No <br />No N/A <br />N/A <br />11 Surface movements in valley bottom or on hillside: es <br />. Yes No N/A <br />12. *Erosion of toe: Yes o N/A <br />13. *Water impounded against toe: <br />' 3 <br />~ t <br />f <br />14. ) <br />Exist/}'ng embankment freeboard: (normal = 3.1 • <br />~ D ee <br />feet <br />15. V Increase Decrease in water level: Y No N/A <br />16 Cracks, bulging, or erosion on upstream face: es <br />. <br />17. Visible sumps or sinkholes in slurry surface: N A <br />18. *Clogging <br />Yes <br />No <br />N/A <br /> Spillway channels and pipes: ~A <br /> Decant system: <br /> Diversion ditches: <br />19. *Cracking or crushing of pipes <br />Y <br />~ <br />N/A <br /> Spillway pipes: es <br />N L <br /> Decant system: es No N/A <br />20. Trash racks clear and in place: <br />21. Discharge rate (gpm) -~- - <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 />