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PERIODIC INSPECTION FORM <br /> <br />N4~TER, SIDII+~TP, OR SLURRY Il~IP(7CIIa@~'[~S <br />Inspectors Name:~o« ~ b~ Date: q-S 9f <br />NPDES ID. No.:Cb-0000213 003 Date Last Inspected: (~~/~-9S <br />Facility Configuration:Side Hill Pond <br />Site Name: Imuoundment #003 Location:47N16W36BC <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla CO. <br />Mine ID No.: CMr,Rn Permit #0008-81 <br />Owners Rep.: R. L. Wade Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation preparation (removal of vegetation, stumps., topsoil) Y~ No N/A <br />2. Lift thickness (inches) / 2 ! iflc,[ <br />3. Crng:action according to approved plan ~ No N/A <br />4. Burning (specify extend and location) Yes ~ N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) Fran underdrain pipes: Yes No <br /> b.) At isolated points on embankment slopes: Yes d`>i~ N A <br /> c) At natural hillside: Yes ~O N/A <br /> d) Over widespread areas Yes ~ N/A <br /> e) From downsteam foundation area Yea N N/A <br /> f) "Boils" beneath stram or ponded water Yes N/A <br />7. Cracks or scarps on crest Yes N N/A <br />8. Cracks or scraps on slope Yes N N/A <br />9. Sloughing or bulging on slope Yee N/A <br />10. Major erosion problems Yes ~ N/A <br />11. Surface movements in valley bottom or on hillside Yes I~ N/A <br />12. Erosion of tce Yes N~, N/A <br />13. Water impounded against tce Yes ~N N/A <br />14. Existing embankment freeboard (feet) ~ _ Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes N/A <br />16. Visible sumps or sinkholes in slurry surface Yes ~ <br />N N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes Q N/A <br /> b) Decant system Yes ~ N/A <br /> c) Diversion Ditches Yes Q N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes No <br /> b) Decant system Yes No ~r <br />19. TYash racks clear and in place Yes No N A <br />REG~S~ <br />1N IS G ~F9~o <br />~-5- 9S <br />'3~.s ~ N Is ~~ <br />