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<br />PERIODIC INSPECTION FORM <br />WATER, SIDII~Tf, OR SLURRY IMPO[AS <br />Inspectors Name : ~~~ ~bu..~ Date : q - 5_ q q <br />NPDES ID. No.:CO-0000213 006 Date Last Inspected: ~_l~_g S <br />Facility Configuration:Cross Va11e~Pond <br />Site Name: I~,>oundment #006 <br />Mine Name: New Horizon Mine <br />Mine ID No.: QKLRD Permit #0008-81 <br />Location:47N16W36AC <br />Location:2 mi.NW of Nucla CO. <br />Owners Rep.: R. L. Wade Mine Manacrer <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <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 />Foundation Preparation (removal of vegetation, sturt~s., topsoil) ~ No <br />Lift thickness (inches) /~ / N~ <br />Compaction according to approved plan ~ No <br />Burning (specify extend and location) Yes <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: Yes No <br />b.) At isolated points on embankment slopes: Yes ({~J 1 <br />c) At natural hillside: Yea (N~ <br />d) Over widespread areas Yes ®' <br />e) From downsteam foundation area Yes <br />f) "Boils" beneath stram or ponded water Yes <br />Cracks or scarps on crest Yes <br />Cracks or scraps on slope Yes <br />Sloughing or bulging on slope Yes <br />Major erosion problems Yes <br />Surface movements in valley bottom or on hillside Yes <br />Erosion of tce Yes <br />Water impounded against toe Yes <br /> <br />Existing embankment freeboard (feet) /~ <br />.-~ <br />Cracks, bulging, or erosion an upsteam face Yes ~1 <br />Visible aunq~s or sinkholes in slurry surface Yes <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 e <br />Y <br />s <br />7Yash racks clear an ,T <br />~ <br />Acp No <br />1,Ip ~\S Ci~o_~'t <br />5 <br />N/A <br />N/A <br />N/A <br /> <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 />N/A <br />