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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />TOR' S NF ME • Dennis Jones DATE : ~ ~ -~ `~ -~~ <br />INSPEC <br />D <br />NPDES I ~ <br />NO.: N A <br />~ - `~ -~~ <br />. <br />. <br />FACILITY C ONF]:GURATION: Incised Pond DATE LAST INSPECTION: <br />34 T6N R87W <br />Sec <br />NE1/ <br />W1 <br />SITE NAME: S ill Control Pond No. 2 . <br />/a <br />a <br />LOCATION: N <br />CO <br />7 1 mi SE of Hayden <br />MINE NAME: Seneca Mine II (Seneca Coal Co) , <br />LOCATION: <br />Greaa Kitchen Gen Mqr <br />'S REP <br />MINE I.D. NO.: CDMG Permit No. C- 80-005 .: <br />OWNER <br />Circle or write in appropriate response <br />1 Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />. ~A <br />2. Lift thickness: NSA <br />3. Compaction according to approved plan: <br />N~ <br />4. Burning (specify extent and location): <br />Total <br />= ~A <br />5. Angle of slope: upstream, downstream <br />6 *Seepage (specify location, color, and approximate volume) <br />. <br /> From underdrain pipes: <br />At isolated points on embankment slopes: <br />Yes <br />Not <br />N <br />! <br />N/A <br />N/A <br /> At natural hillside: Yes <br />Yes o <br />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: Y N N/A <br />7. Cracks or scarps on crest: <br />es <br />Yes <br />o <br />No <br />N/A <br />8. Cracks or scarps on slope: <br />Yes <br />No <br />N/A <br />g. Sloughing or bulging on slope: Yes No N/A <br />10. *Major erosion problems: <br />hillside: <br /> <br />Yes <br /> <br />No <br /> <br />N/A <br />11. Surface movements in valley bottom or on Yes No N/A <br />12. *Erosion. of toe: <br />Yes <br />N/A <br />13. *Water impounded against toe: <br />' 7.0 feet <br />14. ) <br />Existing embankment freeboard: (normal - 7 0 <br />' <br />~ <br />feet <br />15. ~ d ~ <br />Increase Decrease in water level: _ Yes 1~Vo N/A <br />16. Cracks, bulging, or erosion on upstream face: <br />N L <br />17. Visible sumps or sinkholes in slurry surface: <br />18. *Cloggir~g <br />Yes <br />No <br />N/A <br /> Spillway channels and pipes: N A <br /> L)ecant system: ~~` <br /> Diversion ditches: <br />19. *Crackirig or crushing of pipes <br /> Spillway pipes: <br /> Decant system: <br />2p. Trash racks clear and in place: <br />21. Discharge rate (gpm) ~' <br />*Major adverse changes in these items could cause instability and should <br />ther evaluation. Adverse <br />f be reported to the <br />conditions noted in <br />ur <br />Engineering Manager and Mine Superintendent for <br />location, volume, etc.) <br />described (extent <br />b <br />l in th e space on the <br />thes , <br />e <br />y <br />e items ;ahould normal <br />back of this sheet. <br />