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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: 6-4 ' 2 - <br />NPDES I.D. NO.: CO- 0000221 D.P. 016 <br />FACILITY CONFIGURATION: Cross - Valley Pond DATE LAST INSPECTION: l� �1 ( Z <br />SITE NAME: Pond #016 LOCATION: NE SE %, Sec. 27, 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 />1. <br />2. <br />3. <br />4. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18. <br />Circle or write in appropriate response <br />Foundation preparation (removal of vegetation, stumps, topsoil: Yes <br />Lift thickness: <br />Compaction according to approved plan: Yes <br />Burning (specify extent and location): No <br />3:1 downstream Total = 6:1 <br />5. Angle of slope: 3:1 upstream, <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. <br />Surface movements in valley bottom or on hillside: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: (normal = 6.8') <br />r v- L.> ve, 6) L'v ) <br />N/A <br />Yes 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 />Yes • N/A <br />Yes • N/A <br />6.c feet <br />feet <br />Yes Nf N/A <br />N/A <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Increase Decrease in water level: <br />Cracks, bulging, or erosion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: Yes Na N/A <br />Decant system: N/A <br />Diversion ditches: N/A <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: (Ye No N/A <br />21. Discharge rate (gpm) <br />13 <br />in. <br />No <br />No <br />No <br />No <br />No <br />,No , <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 />5 s_ <br />