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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />( <br />INSPECTOR'S NAME: Dennis Jones DATE: - l 1 <br />NPDES I.D. NO.: CO- 0000221 D.P. 015 <br />FACILITY CONFIGURATION: Cross - Valley Pond DATE LAST INSPECTION: 6 -22--1 <br />SITE NAME: Pond #015 LOCATION: NE% SE%, Sec. 23, T5N, R88W <br />MINE NAME: Seneca II -W Mine (Seneca Coal Co) LOCATION: 8 mi. S of Hayden, CO <br />MINE I.D. NO.: CMLRD Permit No. C -82 -057 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: 12 <br />3. Compaction according to approved plan: Yes <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 2.5:1 upstream, 3.5:1 downstream Total = 6:1 <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: N/A <br />At isolated points on embankment slopes: Yes Ns N/A <br />At natural hillside: Yes N• 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 N• N/A <br />7. Cracks or scarps on crest: Yes N• 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 • N/A <br />11. Surface movements in valley bottom or on hillside: SE'C c4LA Sid '! No N/A <br />12. *Erosion of toe: Yes • N/A <br />13. *Water impounded against toe: Yes N/A <br />14. Existing embankment freeboard: (normal = 4.0') <br />15. Increase Decrease in water level: <br />16. Cracks, bulging, or erosion on upstream face: <br />17. Visible sumps or sinkholes in slurry surface: <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: 4 No N/A <br />21. Discharge rate (gpm) <br />feet <br />feet <br />Yes sCn N/A <br />N/A <br />Yes OD N/A <br />N/A <br />N/A <br />/6 <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. <br />