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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: ?3-M-G%_ <br />NPDES I.D. NO.: CO-0000221 D.P. 009 D -10-0-7 <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: <br />SITE NAME: Pond #009 LOCATION: SEV4 SWY4, Sec. 11, TSN, R88W <br />MINE NAME: Seneca II-W Mine (Seneca Coal Cc) 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 approxriate resvonse <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18. <br />19 <br />20 <br />21 <br />Foundation preparation (removal of vegetation, stumps, topsoil: - Yes <br />Lift thickness: 12 <br />Compaction according to approved plan: Yes <br />Burning (specify extent and location): No <br />Angle of slope: 3:1 upstream, 3:1 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 />Exist'ng embankment freeboard: (normal = 6.91) <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 lace: <br />Discharge rate (gpm) lid 3 e?? be 0? ?S?- Vq:P <br />NI <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />9•Gt <br />e)-5 <br />Yes <br />N/A <br />Yes <br />N/A <br />N/A <br />in. <br />6:1 <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />No N/A <br />feet <br />feet <br />Qo N/A <br />N/A <br />Yes No N/A <br />N/A <br />es No N/A <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 />?) - 3 S 0-'? g-A?