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PERIODIC INSPECTION FORM <br />water, Sediment, or Slurry impoundments <br /> <br />INSPECTOR'S NAME: Dennis Jones DATE: v ~'? ~ v <br />P <br />: CO-0000221 D <br />NO <br />D <br />NPDES I 016 3 <br />. <br />. <br />. <br />. <br />. .? <br />FACILITY CONFIGURATION: Cross-Val ley Pond DATE LAST INSPECTION: <br />SITE NAME: Pond #016 LOCATION: NE1/4 SE1/4 Sec. 27, T5N, R88W <br />MINE NAME: Seneca II-W Mine (Seneca Coal Co ) LOCATION: 8 mi. S of Ha yden, CO <br />MINE I.D. NO.: CMLRD Permit No. C -82-057 OWNER'S REP.: Gregg Kitchen Gen Mar <br /> <br />Circle or write in appropriate response <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: in. <br />tion according to approved plan: <br />C Yes <br />ompac <br />Burning (specify extent and location): No <br />Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: NL <br /> Yes No <br />At isolated points on embankment slopes: <br />At natural hillside: -S o -V? Sti Yes <br /> Yes <br />Over widespread areas: <br />From downstream foundation area: I <br />152 <br />° <br />"Boils" beneath stream or ponded water: Yes <br />Cracks or scarps on crest: Yes No <br />Cracks or scarps on slope: Yes <br /> <br />Sloughing or bulging on slope: <br />Yes DO <br />*Major erosion problems: Yes <br /> <br />Surface movements in valley bottom or on hillside: Yes NNo <br /> <br />*Erosion of toe: <br />Yes . <br />?LV0 <br />*Water impounded against toe: Yes No <br /> 6 <br />Existing embankment freeboard: (normal = 6.8') feet <br />Increase Decrease in water level: In o C- L%-C, L, feet <br />Cracks, bulging, or erosion on upstream face: Yes <br />Visible sumps or sinkholes in slurry surface: N/A <br />*Clogging <br />Spillway channels <br />Decant system: _ <br />Diversion ditches: <br />*Cracking or crushing of <br />Spillway pipes: _ <br />Decant system: <br />Trash racks clear and in place: <br />Discharge rate (gpm) <br />and pipes: <br />pipes <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />Yes RCN N/A <br />N/A <br />N/A <br />Yes N® 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.