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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments p <br />INSPECTOR'S NAME: Dennis Jones DATE: - o O <br />NPDES I.D. NO.: N/A FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: D <br />SITE NAME: Pond #011A LOCATION: SWIA NWV4, Sec. 16, TSN, 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.: Gregg Kitchen, Gen Mar <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 />Foundation preparation (removal of vegetation, stumps, topsoil: <br />Lift thickness: <br />Yes <br />in. <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 3.0:1 upstream, 3.0:1 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: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Existing embankmt f eeboard: (normal = 4.51) <br />Increase en Decrease in water level: <br />Gds feet <br />1?5 feet <br />16. Cracks, bulging, or erosion on upstream face: Yes 0 N/A <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging <br /> Spillway channels and pipes: Yes No N/A <br /> Decant system: N/A <br /> Diversion ditches: N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes <br /> Decant system: N A <br />20. Trash racks clear and in place: <br />' <br />w Ye No <br />21. <br />cs <br />? 1,2u?QJ o 5 <br />4- 0",, <br />Discharge rate (gpm) CJqL" <br />?uap <br /> 1.5 <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 />condi tions noted in these items should normally be described (ext ent, location, volume, <br />etc.) in the space on the back of this sheet. <br />Yes <br />No <br />Total = 6.0:1 <br />NA <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes N/A