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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: -" <br />NPDES I.D. NO.: N/A _ Ao-© y? <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: UUU <br />SITE NAME: Pond #016A LOCATION: NEIA SETA, Sec. 27, T5N, R88W <br />MINE NAME: Seneca II-W Mine (Seneca Coal Co) 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 appropriate resvonse <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: _ Yes <br />2. Lift thickness: in. <br />3. Compaction according to approved plan: <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: NZA <br /> At isolated points on embankment slopes: Yes No N/A <br /> At natural hillside: Yes No N/A <br /> Over widespread areas: <br />- Yes o N/A <br /> From downstream foundation area: Sc?? cS iabL es N/A <br /> "Boils" beneath stream or ponded water: Yes N/A <br />7. Cracks or scarps on crest: Yes N/A <br />8. Cracks or scarps on slope: Yes D N/A <br />9. Sloughing or bulging on slope: Yes No N/A <br />10. *Major erosion problems: Yes N/A <br />11. Surface movements in valley bottom or on hillside: See o'1kg-L S; & © NN'o N/A <br />12. *Erosion of toe: Yes y <br />?Nq N/A <br />13. *Water impounded against toe: Yes No N/A <br />14. Existing embankment freeboard: (normal = -4--54) SJ1 ' JL_ feet <br />15. Increase Decrease in water level: ke, G1??c rac ,,2. 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 LS N/A <br /> Decant system: N/A <br /> Diversion ditches: N/A <br />19. *Cracking or crushing of pipes n_ <br />? D??S ? <br />?L. <br />Yes <br />N/A <br /> . <br />Spillway pipes: v <br /> Decant system: N/A <br />20. Trash racks clear and in place: = No N/A <br />21. Discharge rate (gpm) / <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.