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PERIODIC INSPECTION FORM <br />water, Sediment, or Slurry Impoundments <br />D Jones DATE: G -3-©?y/ <br />v <br />INSPECTOR S NAME. ennis <br />NPDES I.D. NO.: CO-0000221 D.P. 015 -Q <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: <br />SITE NAME: Pond #015 LOCATION: NE1/a SE'/a Sec. 23, 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.: Gre(Tq Kitchen, Gen Mar <br />Circle or write in apipropriate 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: <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 2.5:1 upstream, 3.5:1 downstream <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: 5ee odl?n 5? <br />*Erosion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: (normal = 4.01) <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 place: <br />Discharge rate (gpm) <br />Total <br />N/A <br />Yes <br />12 <br />Yes <br />No <br />6.1 <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes N/A <br />Yes N/A <br />Yes J N/A <br />Yes No N/A <br />Yes N/A <br />G No N/A <br />Yes (N N/A <br />Yes o N/A <br /> feet <br /> feet <br />Yes V N/A <br />N/A <br />Yes No N/A <br />N/A <br />N/A <br />Yes (No) N <br />N/A <br />S No N/A <br />i 4. <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.