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<br />PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br /> r 0 <br />INSPECTOR'S NAME: Dennis Jones DATE: <br />NPDES I.D. NO.: CO-0000221 D.P. 014 O <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: .) <br />SITE NAME: Pond #014 LOCATION: NE1/4 SWl/4, Sec. 19, 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.: Roy Karo, Gen Mar <br />Circle or write in aimoropriate 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 />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: 3.0:1 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: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: (normal = 5.0') <br />Increase t/ Decrease in water level: <br />1-;t, ® t <br />Cracks, bulging, or erosion on upstream face: Yes <br />Visible sumps or sinkholes in slurry surface: N/A <br />*Clogging <br />Spillway channels and pipes: Yes No <br />Decant system: N/A <br />Diversion ditches: N/A <br />N/A <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yes (00 N/A <br />Decant system: A <br />20. Trash racks clear and in place: e No N/A <br />?5 ?? <br />21. Discharge rate (gpm) WI-e 3.2 Y-,-e-4 lo-low <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 />conditions noted in these items should normally be described (extent, location, volume, <br />etc.) in the space on the back of this sheet. <br />Total = 6.5:1 <br />N/A <br />Yes o <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes No <br />Yes N <br />Yes N <br />q•2- feet <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 <br />in. <br />Yes <br />No <br />N/A