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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 #012A <br />MINE NAME: Yoast Mine(Seneca Coal Co) <br />MINE I.D. NO.: CMLRD Permit No. C-94-082 <br />DATE : 3 - ;9 6 -1 D <br />DATE LAST INSPECTION: D` -?n <br />LOCATION: NEl/4 NEY44,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. 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: upstream, downstream Total = <br />6. *Seepage (specify location, color, and approximate volume) <br /> From underdrain pipes: Yes No <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: Yes No <br /> "Boils" beneath stream or ponded water: Yes o <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: Yes No <br />11. Surface movements in valley bottom or on hillside: Yes No <br />12. *Erosion of toe: Yes No <br />13. *Water impounded against toe: Yes N <br />14. Existing embankment freeboard: (4.6' when full) > 10 feet <br />15. Increase Decrease in water level: ? feet <br />16. Cracks, bulging, or erosion on upstream face: Yes N6 <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging <br />Spillway channels and pipes: <br />Yes <br /> Decant system: N/A <br /> Diversion ditches: N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes ®N <br /> Decant system: N/A <br />20. Trash racks clear and in place: Ye No <br />21. Discharge rate (gpm) D <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 />N/A <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, volume, <br />etc.) in the space on the back of this sheet. nn <br />D J.0 0NXQ ?c C-- s kcZw D L"- Igo k- V1. Rz, 5 L?I-V 07, . <br />6 ??eJ ??o? ?cs???u <br />6 ? KVS