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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 6- 9 `-O-1 <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: Cross-Valley Pond DATE LAST INSPECTION: 0% <br />SITE NAME: Pond #011A LOCATION: Sinn/4 NWl/, 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.: Roy Karo, Gen Mar <br />Circle or write in appropriate resvonse <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <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, 3.0:1 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 />Yes <br />in. <br />Yes <br />No <br />Total = 6.0:1 <br />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 />7. Cracks or scarps on crest: Yes N/A <br />8. Cracks or scarps on slope: Yes N/A <br />9. Sloughing or bulging on slope: Yes N/A <br />10. *Major erosion problems: Yes U N/A <br />11. Surface movements in valley bottom or on hillside: Yes N/A <br />12. *Erosion of toe: _ Yes No N/A <br />13. *Water impounded against toe: Yes N/A <br />14. Existing embankment freeboard: (normal = 4.51) S-Iq feet <br />15. L/ Increase Decrease in water level: 1.3 feet <br />16. Cracks, bulging, or erosion on upstream face: Yes N/A <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging <br /> Spillway channels and pipes: Yes N/A <br /> Decant system: N/A <br /> Diversion ditches: N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes CD <br /> Decant system: N/A <br />20. Trash racks clear and in place: No <br />21. Discharge rate (gpm) U) C" QY I e V V-C9.1 f bQ to CQtscL-vSL Q- <br /> vev, y lo") Gtt \u "Ly 1? s siae-p <br />*Major adverse changes in these items could cause instability and should be reported to <br />the Engineering Manager and Mine Superintendent for further evaluat ion. Adverse <br />condi tions noted in these items should normally be described (extent, location, volume, <br />etc.) in the space on the back of this sheet.