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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 9.'"( " 1( <br />NPDES I.D. NO.: CO- 0000221 D.P. 014 <br />FACILITY CONFIGURATION: Cross - Valley Pond DATE LAST INSPECTION: v ' <br />SITE NAME: Pond #014 LOCATION: NE /, SW /,,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 />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: <br />4. Burning (specify extent and location): <br />5. <br />6. <br />Yes <br />No <br />Angle of slope: 3.0:1 upstream, 3.5:1 downstream Total = 6.5:1 <br />*Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: N/A <br />At isolated points on embankment slopes: Yes No N/A <br />At natural hillside: Yes 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 />7. Cracks or scarps on crest: Yes No N/A <br />8. Cracks or scarps on slope: Yes No N/A <br />9. Sloughing or bulging on slope: Yes No N/A <br />10. *Major erosion problems: Yes No N/A <br />11. Surface movements in valley bottom or on hillside: Yes No N/A <br />12. *Erosion of toe: Yes No N/A <br />13. *Water impounded against toe: Yes N/A <br />14. Existing embankment freeboard: (normal = 5.0') -] feet <br />15. Increase (/ Decrease in water level: a feet <br />16. Cracks, bulging, or erosion on upstream face: Yes N/A <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yes N/A <br />Decant system: N/A <br />20. Trash racks clear and in place: ' No N/A <br />21. Discharge rate (gpm) 0 <br />(ev A s -e e 1 oz. it44 <br />-6A)-'ek loe_\3) c_ <br />6). 3 <br />Yes 6 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. <br />