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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: I - Z <br />NPDES I.D. NO.: CO- 0000221 D.P. 006 ,1 <br />FACILITY CONFIGURATION: Cross - Valley Pond DATE LAST INSPECTION: 1V 3 —1 <br />SITE NAME: Pond #006 LOCATION: NW'% NW /,, Sec. 22, 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: <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: <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: <br />12. *Erosion of toe: <br />13. *Water impounded against toe: <br />14. Existing embankment freeboard: (normal = 7.5') <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: <br />Decant system: <br />20. Trash racks clear and in place: <br />21. Discharge rate (gpm) <br />k C3 c)A,v . Uv <br />Yes <br />12 in. <br />Yes <br />No <br />Total = 6:1 <br />N/A <br />Yes 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 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 No N/A <br />feet <br />feet <br />Yes N/A <br />N/A <br />Yes ( Nom, N/A <br />N/A <br />Yes (Nd N/A <br />Yes No N/A <br />N/A <br />es No N/A <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 />