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QUARTERLY POND EXAMINATION FORM <br />Mine: New Horizon North Mine <br />Pond Name: Pond 001 <br />NPDES Permit & Outfall #s: CO -850062 <br />Date Examined: 10 -June -2015 <br />Location Description: 2.4 miles NW of Nucla <br />Circle or Write appropriate Response <br />Owner's Rep.: Rick Wolney, Mine Manager <br />Pond Type: Partly Incised <br />CDRM & S #: C-2010-089 <br />Date Last Examined: 22 -October -2014 <br />Legal Location: Sec 25 of T47N R16W <br />Inspector's Name: Frank Ferris <br />1. <br />Seepage (specify location, color, and approx. volume) <br />Yes <br />o <br />N/A <br />2. <br />Cracks or scarps on crest or slopes <br />Yes <br />o <br />N/A <br />3. <br />Sloughing or bulging on slopes <br />Yes <br />N/A <br />4. <br />Major erosion problems <br />Yes <br />No <br />N/A <br />5. <br />Surface movements in valley bottom or on hillside <br />Yes <br />® <br />N/A <br />6. <br />Water impounded against toe <br />Yes <br />V <br />N/A <br />7. <br />Clogging <br />a) Spillway channels and pipes <br />Yes <br />N <br />N/A <br />b) Decant system <br />Yes <br />N/A <br />C) Diversion Ditches <br />Yes <br />I�o <br />N/A <br />8. <br />Cracking or crushing of pipes <br />a) Spillway pipes <br />Yes <br />N/A <br />b) Decant system <br />Yes <br />N/A <br />9. <br />Trash racks clear and in place <br />es <br />No <br />N/A <br />10. <br />Monitoring instrumentation <br />— <br />No <br />N/A <br />Comments: ©Vi fiA1I t vy..e e/n ed eJ <br />1 <br />5cf 111 <br />3.e -43 v <br />f <br />i LA, w`e... <br />F:\M\NHN\Environmental\Pond Inspections & Examinations\2015_06 Quarterly Pond Examinations.doc <br />