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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Dennis Jones <br />NPDES I.D. NO.: CO- 0000221 D.P. 010 <br />FACILITY CONFIGURATION: Cross - Valley Pond <br />SITE NAME: Pond #010 <br />MINE NAME: Yoast Mine(Seneca Coal Cc) <br />MINE I.D. NO.: CMLRD Permit No. C -94 -082 <br />1. <br />2. <br />3. <br />4. <br />5. <br />G. <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: Z _ 5 _ I D <br />DATE LAST INSPECTION: I -/ - l Z <br />LOCATION: NWV4 NEV., Sec. 8, 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: 3.75:1 upstream, 3.75:1 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: <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: (normal = 10.01) <br />C/ 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 />8 in. <br />_ Yes <br />No <br />Total = 7.5:1 <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 />Yes <br />Eq <br />N/A <br />r(- 0 <br />feet <br />o.1 <br />feet <br />Yes <br />C o <br />N/A <br />N/A <br />Yes ® N/A <br />N/A <br />N/A <br />Yes N/A <br />N/A <br />es No N/A <br />%o <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 />/- 2 <br />I C'e— <br />s k v U� 9 �, 0 "-Ik- <br />0 " P a­'­ <br />