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PERIODIC INSPECTION FORM <br />T~DeaTER, SEDII+~TP, OR SLURRY IMpOCIId~TPS <br />Inspectors Name: BLS G„b~ Date: q - 5- qs <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: (~_i3. 9g <br />Facility Configuration:Side Hill Pond <br />Site Name: Imooundment_#002 Location:47N15W31CB <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla Cb. <br />Mine ID No.: <br />Owners Rep.: <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stunq~s., topsoil) ~ No <br />2. Lift thickness (inches) ~~ i n!~ ~~ <br />3. Cowaction according to approved plan ~ No <br />4. Burning lspecify extend and location) Yes <br />5. Angle of slope: 3:1 upstream, 3'1 downstream <br />6. Seepage (specify location, color, and approx. volume) <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 />a.) From underdrain pipes: Yes No <br />b.) At isolated points on embankment slopes: Yes ~yI <br />c) At natural hillside: Yes ®. <br />d) Over widespread areas Yes <br />e) Fran downsteam foundation area Yes <br />f) "Boils" beneath stram or pnnded water Yes N <br />Cracks or scarps on crest Yes N <br />Cracks or scraps on slope Yes <br />Sloughing or lwlg ing on slope Yes N9 <br />Major erosion problems Yes N <br />Surface movements in valley bottom or on hillside Yes N <br />Erosion of tce Yes <br />Water impounded against tce Yes ~1 <br />Existing embankment freeboard (feet) ~ ' _ <br />Cracks, bulging, or erosion on upsteam face Yea <br />Visible sunq~s or sinkholes in slurry surface Yes (f~. <br />Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant system Yes <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes <br />b) Decant system Yes <br />'Srash racks clear and in <br />N/A <br />N/A <br />N/A <br />N/ <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />® N/A <br />® N/A <br />N/A <br />® N/A <br />® N/A <br />No N/A <br />~- S 9S <br />Z3ws ~ N ~ s ~~• <br />