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PERIODIC INSPECTION FORM <br />Water, Sediment, or Slurry Impoundments <br />INSPECTOR'S NAME: Chris Miller <br />NPDES I.D. NO.: CO- 0000221 D.P.008 <br />FACILITY CONFIGURATION: Cross Valley Pond <br />SITE NAME: Pond #008 <br />MINE NAME: Seneca II Mine (Seneca Coal Company) <br />MINE I.D. NO.: CDRMS Permit No. C -80 -005 <br />1. <br />2. <br />3. <br />4. <br />5. <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: 6/10/13 <br />DATE LAST INSPECTION: 3/5/13 <br />LOCATION: SW4NWI-4, Sec. 7, T5N, R86W <br />LOCATION: 7.1 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: Yes <br />Lift thickness: <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 3:1 upstream, 3:1 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: See below <br />*Erosion of toe: <br />*Water impounded against toe: <br />Existing embankment freeboard: (normal= 4.71) <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 />12 in. <br />Yes <br />No <br />Total = 6:1 <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 />No <br />N/A <br />4_7 <br />feet <br />00 <br />feet <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 />4.0 <br />*Major adverse changes in these items could cause instability and should be reported to the <br />Engineering Manager and Mine Superintendent for further evaluation. Adverse conditions <br />noted in these items should normally be described (extent, location, volume, etc.) in the <br />space on the back of this sheet. <br />