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PERIODIC INSPEC!'ION FORM <br />FF~TER, SEDII~TP, OR SLURRY Il~IPOLAa8~3~S <br />Inspectors Name : Zas~ G„~,~ Date : 9 _ 5_ qs <br />NPDES ID. No.:CO-0000213 005 Date Last Inspected: (.,_i3_qs <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #005 Lr~cation:47N16W36AD <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla CO. <br />Mine ID No.: CMT,RII 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, stunq~s., topsoil) ~ No N/A <br />2. Lift thickness (inches) ~~ /~~ <br />3. Cong>action accox3ing to approved plan ~ No N/A <br />4. Burning (specify extend and location) Yea ~ 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 ~O N/A <br /> c) At natural hillside: Yea N~ N/A <br /> d) Over widespread areas Yes N~ N/A <br /> e) Fran downsteam foundation area Yes ~ N/A <br /> f) "Boils" beneath stram or ponded water Yes No N/A <br />7. Cracks or scarps on crest Yes ~ N/A <br />8. Cracks or scraps on slope Yes No N/A <br />9. Sloughing or bulging on slope Yes ~1 N/A <br />10. Major erosion problems Yes o N/A <br />11. Surface movements in valley bottan or on hillside Yes N/A <br />12. Erosion of tce Yes N/A <br />13. Water mounded against tce Yes ~ N/A <br />14. Existing embankment freeboard (feet) ~ ~ Feet <br />15. Cracks, bulging, or erosion on upsteam face , <br />Yes ('~ N/A <br />16. Visible sumps or sinkholes in slurry surface Yes ~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ~ N/A <br /> b) Decant system Yes ~ N/A <br /> c) Diversion Ditches Yes ~ N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes QI N/A <br /> b) Decant system Yes ~ N/A <br />19. 1Yash racks clear and in place ~ No N/A <br /> !ST <br /> PPVEWIS <br />`~q <br />~ <br />~ OG <br /> ~; <br />a <br />o';'v°' <br /> ' ~:~~ ~ ~' -S 9S <br /> ~ <br /> FSSlONAL~~ <br />1 ~ ~ ~~ <br />