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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: Cross-Valley Pond <br />SITE NAME: Pond #016A <br />MINE NAME: Seneca II-W Mine (Seneca Coal <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 <br />Cc <br />DATE : z -C' <br />DATE LAST INSPECTION: 1 t <br />LOCATION: NEV44 SEl/,, Sec. 27, TSN, R88W <br />LOCATION: 8-mi. S of Hayden, CO <br />OWNER'S REP.: Roy Karo, Gen Mgr <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: Yes <br />Lift thickness: in. <br />Compaction according to approved plan: <br />Burning (specify extent and location): No <br />Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: N/A <br />At isolated points on embankment slopes: Yes No <br />At natural hillside: Yes No <br />over widespread areas: Yes No <br />From downstream foundation area: ?Q0?F?.c? S ti es o <br />"Boils" beneath stream or ponded water: Yes No <br />Cracks or scarps on crest: Yes No <br />Cracks or scarps on slope: Yes No <br />Sloughing or bulging on slope: Yes No <br />*Major erosion problems: Yes No <br />Surface movements in valley bottom or on hillside: Se-e- 0,4" S Cre-1 <br />b <br />No <br />*Erosion of toe: Yes No <br />*Water impounded against toe: Yes No <br />Existing embankment freeboard: (normal = 5.41, 2008) feet <br />Increase Decrease in water level: feet <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: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />Discharge rate (gpm) <br />Yes (Nd <br />N/A ?? <br />N/A <br />Yes No <br />N/A <br />Yes No <br />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 />N/A <br />N/A <br />N/A <br />N/A <br />N/A <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.