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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones <br />NPDES I.D. NO.: N/A <br />FACILITY CONFIGURATION: Cross - Valley <br />SITE NAME: Pond #012A <br />MINE NAME: Yoast Mine(Seneca Coal Cc) <br />MINE I.D. NO.: CMLRD Permit No. C -94 -082 <br />i• 003"o rel <br />1. <br />2. <br />3. <br />4. <br />S. <br />6. <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 />19. <br />20 <br />21 <br />DATE: 3-6-12- 15eP beta <br />1) <br />DATE LAST INSPECTION: Z [ - 1 Z <br />LOCATION: NEV44 NEV44,Sec. 19, TSN, R87W <br />LOCATION: 8.5 mi. SE of Hayden, CO <br />OWNER'S REP.: Roy Karo, Gen Mgr <br />Circle or write in appropriate response <br />Foundation preparation (removal of vegetation, stumps, topsoil: <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: upstream, downstream <br />*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 />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />*Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />*Erosion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: (4.6' when full) <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: <br />Decant system: <br />Diversion ditches: <br />*Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />Trash racks clear and in place: <br />Discharge rate (gpm) <br />Yes <br />in. <br />Yes <br />No <br />Total = <br />Yes No N/A <br />Yes <br />No <br />N/A <br />Yes <br />No <br />N/A <br />Yes <br />No <br />N/A <br />Yes <br />No <br />N/A <br />Yes <br />No <br />N/A <br />Yes <br />No <br />N/A <br />Yes <br />No <br />N/A <br />Yes <br />No <br />N/A <br />Yes <br />No <br />N/A <br />Yes <br />No <br />N/A <br />Yes <br />No <br />N/A <br />Yes <br />No <br />N/A <br />feet <br />feet <br />Yes <br />No <br />N/A <br />N/A <br />Yes No N/A <br />N/A <br />N/A <br />Yes No N/A <br />N/A <br />Yes No 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 />6. Spoil spring at north end of dam toe, appears to not causing a problem. <br />L �� �v Cccc�s5 <br />i <br />P <br />