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<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 <br />MINE I.D. NO.: CMLRD Permit No. C-82-057 <br />Co) <br />DATE: /o-14-(O <br />DATE LAST INSPECTION: q ^ -1 O <br />LOCATION: NEl/, SEl/,, Sec. 27, TSN, 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: Yes <br />Lift thickness: in. <br />Compaction according to approved plan: Yes <br />Burning (specify extent and location): No <br />Angle of slope: 3:1 upstream, 3:1 downstream Total = 6:1 <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: N/A <br />At isolated points on embankment slopes:: Yes N/A <br />" <br />At natural hillside: 15e cy`(?-A/\ (a:) No N/A <br />Over widespread areas: Yes No N/A <br />From downstream foundation area: Yes No N/A <br />"Boils" beneath stream or ponded water: Yes No N/A <br />Cracks or scarps on crest: Yes No N/A <br />Cracks or scarps on slope: Yes No N/A <br />Sloughing or bulging on slope: Yes No N/A <br />*Major erosion problems: Yes N/A <br />Surface movements in valley bottom or on hillside: Se¢ d? SC? 2 es No N/A <br />*Erosion of toe: Yes N <br /> <br />o <br />1 <br /> <br />N/A <br />*Water impounded against toe: Yes No N/A <br />Existing embankment freeboard: (normal = 6.81) feet <br />Increase Decrease in water level: b .e C_ feet <br />Cracks, bulging, or erosion on upstream face: Yes !_ N/A <br />Visible sumps or sinkholes in slurry surface: N/A <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 />Yes f?Io N/A <br />N/A <br />N/A <br />Yes ©o N/A <br />N/A <br />es No N/A <br />% <br />-16 <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.