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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments 9 f <br />INSPECTOR'S NAME: Dennis Jones DATE: 11 <br />NPDES I.D. NO.: CO- 0000221 D.P. 013 C -30- FACILITY CONFIGURATION: Cross - Valley Pond DATE LAST INSPECTION: �I <br />SITE NAME: Pond #013 LOCATION: SE'% NW' %,Sec. 19, T5N, R87W <br />MINE NAME: Yoast Mine(Seneca Coal Co) LOCATION: 8.5 mi. SE of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C -94 -082 OWNER'S REP.: Roy Karo, Gen Mgr <br />S ees( t.L. Hn <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: <br />3. Compaction according to approved plan: <br />4. Burning (specify extent and location): <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: N/A <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 />7. Cracks or scarps on crest: <br />8. Cracks or scarps on slope: <br />9. Sloughing or bulging on slope: <br />10. *Major erosion problems: <br />11. Surface movements in valley bottom or on hillside: ..See be(o►J <br />12. *Erosion of toe: Yes <br />13. *Water impounded against toe: Yes _ <br />14. Existing embankment freeboard: (normal = 4') t i.tc feet <br />15. Increase v / Decrease in water level: ().QS feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ©o N/A <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging <br />Spillway channels and pipes: Yes 9 N/A <br />Decant system: N/A <br />Diversion ditches: Yes N N/A <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yes loo N/A <br />Decant system: N/A <br />20. Trash racks clear and in place: No N/A <br />21. Discharge rate (gpm) <br />see be_ 10(..) <br />No <br />Total = 6:1 <br />P a des' s <br />S . ( tC,V perNevcQ wA v s reG -A <br />1 L4c4.s <br />Yes No <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <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 />0 w �; 1 e, � D. s s (Q Q L ) <br />b2,l,0,) <br />■ <br />in. <br />N/A <br />No N/A <br />No N/A <br />No 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 />