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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones <br />NPDES I.D. NO.: CO- 0000221 D.P. 011 <br />FACILITY CONFIGURATION: Cross - Valley Pond <br />SITE NAME: Pond #011 <br />MINE NAME: Yoast Mine(Seneca Coal Co) <br />MINE I.D. NO.: CMLRD Permit No. C -94 -082 <br />Circle or write in appropriate response <br />1. Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />2. Lift thickness: 8 in. <br />3. Compaction according to approved plan: Yes <br />4. Burning (specify extent and location): No <br />5. Angle of slope: 3.0:1 upstream, 2.8:1 downstream Total = 5.8:1 <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: Yes No 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 N N/A <br />9. Sloughing or bulging on slope: Yes N N/A <br />10. *Major erosion problems: Yes N N/A <br />11. Surface movements in valley bottom or on hillside: Yes N 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 = 5.1') feet 1Z <br />. 4 <br />15. Increase [7 Decrease in water level: / feet <br />16. Cracks, bulging, or erosion on upstream face: Yes No N/A <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging <br />Spillway channels and pipes: Yes 0 N/A <br />Decant system: N/A <br />Diversion ditches: N/A <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yes 60 N/A <br />Decant system: N/A <br />20. Trash racks clear and in place: 675 <br />es No N/A <br />21. Discharge rate (gpm) <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 />_ , 5 k 3 (-.) o 1_ ( `� �� ■ <br />DATE: 1 - 1 2 <br />DATE LAST INSPECTION: <br />LOCATION: NE',, SW' %,Sec. 16, T5N, R87W <br />LOCATION: 8.5 mi. SE of Hayden, CO <br />OWNER'S REP.: Roy Karo, Gen Mgr <br />0 <br />