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PERIODIC INSPECTION FORM <br />water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 'd <br />NPDES I.D. NO.: CO-0000221 D.P. 004 O Q <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: _ O <br />SITE NAME: South Section 12 Pond #004 LOCATION: SW1/a SE1/a, Sec. 12, T5N, R87W <br />MINE NAME: Seneca II Mine (Seneca Coal Co) LOCATION: 7.1 mi. SE of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C-80-005 OWNER'S REP.: Roy Karo, 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 />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: 5:1 upstream, 2:1 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 embankment freeboard: (normal = 4.8') <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: Inoperable <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: Inoperable <br />Trash racks clear and in place: <br />Discharge rate (gpm) <br />Total <br />Yes <br />12 <br />Yes <br />No <br />N/A <br />7:1 <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 No N/A <br />',I Q 1-0 f eet <br /> f eet <br />Yes No N/A <br />N/A <br />Yes <br />Y No <br />Pi <br />-- N/A <br />- -A <br />es <br />Yes e N/A <br />Yes ?T N/A <br />C I.3 9 No N/A <br />3 <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.