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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: E ' Z� <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: Cross - Valley Pond DATE LAST INSPECTION: `� 2-5' <br />1 2 <br />SITE NAME: Pond #012A LOCATION: NE'% NE',,,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: Yes <br />4. Burning (specify extent and location): No <br />5. Angle of slope: upstream, downstream Total = <br />6. *Seepage (specify location, color, and approximate volume) <br />From underdrain pipes: <br />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: see below Yes No N/A <br />"Boils" beneath stream or ponded water: Yes o 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: (4.6' when full) .p R Y ' feet <br />15. Increase Decrease in water level: feet <br />16. Cracks, bulging, or erosion on upstream face: Yes ia. N/A <br />17. Visible sumps or sinkholes in slurry surface: N/A <br />18. *Clogging <br />Spillway channels and pipes: Yes a7 N/A <br />Decant system: N/A <br />Diversion ditches: N/A <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yes 01> N/A <br />Decant system: N/A <br />20. Trash racks clear and in place: �` No N/A <br />21. Discharge rate (gpm) C) <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 />6. Spoil spring at north end of dam toe, appears to not causing a problem. <br />