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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. 014 <br />FACILITY CONFIGURATION: Cross-Valley Pond <br />SITE NAME: Pond #014 <br />MINE NAME: Yoast Mine(Seneca Coal Co) <br />MINE I.D. NO.: CMLRD Permit No. C-94-082 <br />DATE : a <br />DATE LAST INSPECTION: ly' •? ?? l <br />LOCATION: NEY4 SWl/,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 <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 3.0:1 upstream, 3.5:1 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 = 5.01) <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: <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 />*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 (o'n? the back of this sheet. nn nn <br />J?A <br />0 0- 4,0 4 ux> Q'2?tp c?? -S ko co ©? ?cJC , ?b 19 to <br />6 U-IZ- A C--1 LD L-0 <z:Z_5 CLI. 0.,-0 0 <br />Yes <br />in. <br />Yes (DO N/A <br />N/A <br />N/A <br />Yes N/A <br />N/A <br />'e Jo N/A <br />C <br />_ Yes <br />_ No <br />Total = 6.5:1 <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 o N/A <br />Yes o 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 N/A <br /> feet <br /> feet <br />Yes ® N/A <br />N/A