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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impounndments <br />INSPECTOR'S NAME: Dennis Jones DATE: ( N <br />NPDES I.D. NO .: N/A � _ � � ` I <br />FACILITY CONFIGURATION: Cross - Valley Pond DATE LAST INSPECTION: <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: <br />3. Compaction according to approved plan: <br />4. Burning (specify extent and location): <br />5. Angle of slope: 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: see below <br />"Boils" beneath stream or ponded water: <br />Cracks or scarps on crest: <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18. <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />*Major erosion problems: $ eQ (,Q t <br />Surface movements in valley bottom or on hillside: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Exiting embankment freeboard: (4.6' when full) <br />Increase Decrease in water level • '-- 5, - - b4.5i <br />Cracks, bulging, or erosion <br />on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />*Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />in. <br />Yes <br />No <br />downstream Total = <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />N/A <br />Yes <br />N/A <br />N/A <br />6. Spoil spring at north end of dam toe, appears to not causing a problem. <br />1 0 _ s V y t'e cc- c- "Lac. %A. in. , a_ S to €_[ o L.) G¢.t ._ o X c loo <br />8 1„a h e•eck O Vt MJ caw` i 5 k <br />No <br />0 <br />No <br />Yes <br />Yes <br />es <br />Yes <br />Yes <br />Yes <br />-f eet <br />im.S ec ∎fly feet <br />f Yes ^ <br />No <br />N <br />No <br />19. *Cracking or crushing of pipes <br />Spillway pipes: Yes 60 <br />Decant system: N/A <br />20. Trash racks clear and in place: 6e2 No <br />21. Discharge rate (gpm) k) c4 ku k (e.).o..A 14242(Dc,) C.�osc�jQ <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 />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 />*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 />