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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. 005 <br />FACILITY CONFIGURATION: Cross-Valley Pond <br />SITE NAME: Pond #005 <br />MINE NAME: Seneca II-W Mine (Seneca Coal Cc) <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 <br />DATE : -3-1%-10- <br />DATE LAST INSPECTION: 10 - 13 "OCI <br />LOCATION: NWY44 SWV4, Sec. 10, T5N, 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: <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 3.5:1 upstream, 2.5:1 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 = 7.41) <br />Increase Decrease in water level: <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: Inoperable <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: Inoperable <br />Trash racks clear and in place: <br />Discharge rate (gpm) <br />*Major adverse changes in these items could cause instability and <br />Engineering manager and mine Superintendent for further evaluation. <br />these items should normally be described (extent, location, volume <br />back of this sheet. W QA 1 e J -9- ? D ka- 4 -0 ? W C) ??" <br />1 0 6-Q do ? S l.-0 w o k VL <br />Yes <br />12 in. <br />_ Yes <br />_ No <br />Total = 6:1 <br />Yes No N/A <br />Yes No N/A <br />Yes No <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 />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes o N/A <br />feet <br />feet <br />Yes No N/A <br />N/A <br />Yes ?? N/A <br />N/A <br />Yes CID N/A <br />YTT?Q No N/A <br />?Xas? No N/A <br />should be reported to the <br />Adverse conditions noted in <br />etc.) in the space)I on the <br />Lei IOW GQc:S??tcatr <br />t A U Lk- L.- CQ . <br />CC> t^,? S -.V' ??G? ?' `--Qi