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Ins <br />NPDES ID. <br />To Nov 1AD <br />PERIODIC INSPECTION FORM <br />, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Name: TIreyo(, I�S�4I -e- Date: 2 0 /4/d Y" 0 3 <br />No.:CO- 0000213 Date Last Inspected: 27 Akc2 <br />Facility Configuration: Parcel Incised Pond <br />Site <br />Name: Impoundment #0013 Location:47N16W <br />SEC <br />36 <br />Mine <br />Name: New Horizon Mine Location:l mi.NW of <br />Nucla, CO. <br />Mine <br />ID No.: CDMG Permit #0008 -81 <br />Owners Rep.: Rick Wolney, Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONS/E'��' <br />1. <br />Foundation Preparation (removal of vegetation, stumps., topsoil) <br />C9 <br />l� <br />No <br />N/A <br />2. <br />Lift thickness (inches) <br />3. <br />Compaction according to approved plan <br />be <br />No <br />N/A <br />4. <br />Burning (specify extend and location) <br />Yes <br />N/A <br />5. <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />6. <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: <br />Yes <br />N/A <br />b.) At isolated points on embankment slopes: <br />Yes <br />N <br />N/A <br />c) At natural hillside: <br />Yes <br />N/A <br />d) Over widespread areas <br />Yes <br />/�g <br />(0 <br />N/A <br />e) From downsteam foundation area <br />Yes <br />0 <br />N/A <br />f) "Boils" beneath stream or ponded water <br />Yes <br />9 <br />N/A <br />7. <br />Cracks or scarps on crest <br />Yes <br />® <br />N/A <br />8. <br />Cracks or scraps on slope <br />Yes <br />�i� <br />N/A <br />9. <br />Sloughing or bulging on slope <br />Yes <br />N/A <br />10. <br />Major erosion problems <br />Yes <br />No <br />N/A <br />11. <br />Surface movements in valley bottom or on hillside <br />Yes <br />N/A <br />12. <br />Erosion of toe <br />Yes <br />No <br />N/A <br />13. <br />Water impounded against toe <br />Yes <br />N� <br />N/A <br />14. <br />// t �^ t' <br />Existing embankment freeboard (feet) � 3'1p 0 — -7 7 7 �� <br />78 <br />Feet <br />15. <br />Cracks, bulging, or erosion on upsteam face <br />Yes <br />N/A <br />16. <br />Visible sumps or sinkholes in slurry surface <br />Yes <br />N/A <br />17. <br />Clogging <br />/�l <br />a) Spillway channels and pipes <br />Yes <br />N/A <br />b) Decant system <br />Yes <br />/ <br />cly� <br />N/A <br />c) Diversion Ditches <br />Yes <br />N/A <br />18. <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes Ny7 N/A <br />b) Decant system Yes N/A <br />19. Trash racks clear and in place `e:j> No N/A <br />R e"ve- d rc- sS ;an O (l ve. 5 -Crow. aw. h v h `k�., e- -t �►�, .e✓ y k 1-t GC / j, 6C 44 rg e. <br />n <br />i" (L+ �n4o pang(, pond i S A i SL%ary t, <br />F: \ENG\ DATA \WORD \POND- BANKS \DAMFORM.DOCDOC <br />