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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones DATE: V - 2 V' � <br />NPDES I.D. NO.: CO- 0000221 D.P. 013 <br />FACILITY CONFIGURATION: Cross - Valley Pond <br />SITE NAME: Pond #013 <br />MINE NAME: Yoast Mine(Seneca Coal Co) <br />MINE I.D. NO.: CMLRD Permit No. C -94 -082 <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />*Major erosion problems: <br />k.) <br />Circle or write in appropriate response <br />DATE LAST INSPECTION: /- 2 `412. <br />LOCATION: SE'% NW' %,Sec. 19, T5N, R87W <br />LOCATION: 8.5 mi. SE of Hayden, CO <br />OWNER'S REP.: Roy Karo, Gen Mgr <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 />Yes <br />No <br />Total = 6:1 <br />in. <br />N/A <br />Yes o\ N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />7. Yes No N/A <br />8. Yes No N/A <br />9. Yes No N/A <br />10. Yes No N/A <br />11. Surface movements in valley bottom or on hillside: 5e.e. L. 4 N/A <br />12. *Erosion of toe: Yes No N/A <br />13. *Water impounded against toe: Yes 65 N/A <br />14. Existing embankment freeboard: (normal = 4') S feet <br />15. Increase Decrease in water level: LA-• c..L ..4.qp 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 B N/A <br />Decant system: N/A <br />Diversion ditches: Yes 0 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: ® 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, <br />volumeetc.) in the space on the back of this sheet. <br />0-A w e L p� iv S <br />k <br />0 V.4 k v l k o w , <br />ED k ,,,,o <br />