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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones <br />NPDES I.D. NO.: CO-0000221 D.P. 013 <br />FACILITY CONFIGURATION: Cross-Valley <br />SITE NAME: Pond #013 <br />MINE NAME: Yoast Mine(Seneca Coal Cc) <br />MINE I.D. NO.: CMLRD Permit No. C-94-082 <br />DATE : 10- ? - 0 ? <br />DATE LAST INSPECTION: u r ``` _ c 1 <br />LOCATION: SEY4 NWY44,Sec. 19, TSN, R87W <br />LOCATION: 8.5 mi. SE 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 />in. <br />Lift thickness. <br />Compaction according to approved plan: <br />Burning (specify extent and location): No <br />Angle of slope: 3:1 upstream, 3:1 downstream Total = <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: N/A <br />At isolated points on embankment slopes: Yes o <br />At natural hillside: Yes No <br />over widespread areas: Yes No <br />From downstream foundation area: .SEE D Y€ No <br />"Boils" beneath stream or ponded water: Yes NNO <br />Cracks or scarps on crest: Yes <br />Cracks or scarps on slope: Yes ] <br />Sloughing or bulging on slope: Yes <br />*Major erosion problems: Yes <br />Surface movements in valley bottom or on hillside: -See e No <br />*Erosion of toe: o -5 Yes No <br />*Water impounded against toe: Yes No <br />Existing embankment eeboard: (normal = 41) <br />pr 5sC feet <br />, <br />Increase Decrease in water level: feet <br />Cracks, bulging, or erosion on upstream face: Yes OZ5 <br />Visible sumps or sinkholes in slurry surface: N/A <br />6:1 <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 />*Clogging <br />Spillway channels and pipes: <br />Yes <br />N? <br />N/A <br />Decant system: N/A <br />Yes <br />N/A <br />Diversion ditches: LV <br />*Cracking or crushing of pipes <br />Spillway pipes: Yes Q o) <br />Decant system: N/A <br />Trash racks clear and in place: Yes No N/A <br />Discharge rate (gpm) 0-;,AA? lcae-t 1-4 .5 ea <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, <br />volumeetc.) in the space on the back of this sheet. <br />Pond