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PERIODIC INSPECTION FORM <br />Water, Sediment, or slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 3 - LI - 0 <br />NPDES I.D. NO.: CO-0000221 D.P. 012 --?1 <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: 1o/0 -CO <br />SITE NAME: Pond #012 LOCATION: NEI/ NWI/a,Sec. 19, T5N R87W <br />MINE NAME: Yoast Mine(Seneca Coal Co) LOCATION: 8.5 mi. SE of Hayden CO <br />MINE I.D. NO.: CMLRD Permit No. C-94-082 OWNER'S REP.: Greaa Kitchen, Gen Mar <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: _ Yes <br />2. Lift thickness: 12 i n <br /> <br />3. <br />Compaction according to approved plan: <br />Yes . <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 3.0:1 upstream, 3.0:1 downstream Total = 6.0:1 <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No N/A <br /> At isolated points on embankment slopes: Yes No N/A <br /> At natural hillside: Yes 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: Yes No N/A <br />7. Cracks or scarps on crest: Yes No N/A <br />8. Cracks or scarps on slope: Yes No N/A <br />9. Sloughing or bulging on slope: Yes No N/A <br />10. *Major erosion problems: Yes No N/A <br />11. Surface movements in valley bottom or on hillside: Yes No N/A <br />12. *Erosion of toe: Yes No N/A <br />13. *Water impounded against toe: Yes No N/A <br />14. Existing embankment freeboard: normal = 9.01) 9 feet <br />15. Increase Decrease in water level: KQ CAN-R-44 VAL feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging <br /> Spillway channels and pipes: Yes N/A <br /> Decant system: Yes nNo N/A <br /> Diversion ditches: N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/A <br /> Decant system: Yes No N/A <br />20. Trash racks clear and in place: Yes No <br />O N/A <br />21. Discharge rate (gpm) a 6 <br />*Major adverse changes in these items could cause instability and should be reported to <br />the Engineering Manager and Mine Superintendent for further evaluation. Adverse <br />conditions noted in these items should normally be described (extent, location, volume, <br />etc.) in the space on the back of this sheet. <br />'d " 3 D ? 5 k-d w e L-_ a, L, 0 u_/? <br />o1CQ <br />ll?n 5 I:? o ? ICI ? 5«e.e <br />5 k.o C-o <br />fwd Ct?? d? <br />lb L-"-? I's <br />co&tjzjt? C5 111L