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5 <br />PERIODIC INSPECTION FORM <br />Water, Sediment, or slurry impoundments <br />INSPECTOR'S NAME: Dennis Jones <br />NPDES I.D. NO.: CO-0000221 D.P. 016 <br />FACILITY CONFIGURATION: Cross-Valley Pond <br />SITE NAME: Pond #016 <br />MINE NAME: Seneca II-W Mine (Seneca Coal Co) <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 <br />DATE: iv--1-09 <br />DATE LAST INSPECTION: ( - F 3 -o <br />LOCATION: NE1/ SE/4, Sec. 27, TSN, R8814 <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. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: in. <br />3. Compaction according to approved plan: Yes <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: N/A <br /> At isolated points on embankment slopes: Yes No <br /> At natural hillside: Sr-Lc O`k"\ ? C U Ye No <br /> Over widespread areas: Yes o <br /> From downstream foundation area: Yes No <br /> "Boils" beneath stream or ponded water: Yes No <br />7. Cracks or scarps on crest: Yes No <br />8. Cracks or scarps on slope: Yes No <br />9. Sloughing or bulging on slope: Yes No <br />10. *Major erosion problems: <br />m or on hillside: <br />tt <br />b <br />l <br />5 P e y4 Si Yes <br />Ye No <br />No <br />11. o <br />o <br />ey <br />Surface movements in val <br />12. *Erosion of toe: Yes No <br />13. *Water impounded against toe: ?Yes No <br />14. Existing embankment freeboard: (normal = 6.81) v-o feet <br />15. Increase Decrease in water level: V\ ? GV\. feet <br />16. Cracks, bulging, or erosion on upstream face: Yes <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging <br />Yes /?? <br /> Spillway channels and pipes: DO <br /> Decant system: N/A <br /> Diversion ditches: N/A <br />19. *Cracking or crushing of pipes <br />Yes <br />0 <br /> Spillway pipes: <br /> N/A <br /> Decant system: s N <br />Y <br />20. Trash racks clear and in place: e o <br />21. Discharge rate (gpm) <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.