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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:~~~ ~~~ Date: ~2. -2 l- 2000 <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: q_-y'_Z,cc~ <br />Facility C onfiguration:Side Hill Pond <br />Site Name: Impoundment #002 Location:47N15W31CB <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: CMLRD 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) ~, No <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan ® No <br />4. Burning (specify extend and location) Yes No <br />5. Angle of slope: 3:1 upstream, 3,•1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From underdrain pipes: Yes 0° <br /> b.) At isolated points on embankment slopes: Yes ao <br /> c) At natural hillside: Yes <br /> d) Over widespread areas Yes ~ <br /> e) From downsteam foundation area Yes <br /> f) "Boils" beneath stram or ponded water Yes No <br />7. Cracks or scarps on crest Yes <br />8. Cracks or scraps on slope Yes <br />9. Sloughing or bulging on slope Yes LNID <br />10. Major erosion problems Yes <br />11. Surface movements in valley bottom or on hillside Yes <br />12. Erosion of toe Yes <br />13. Water impounded against toe Yes (1~ <br />19. existing embankment freeboard (feet) <br />15. Cracks, bulging, or erosion on ups team face Yes <br />16. Visible sumps or sinkholes in slurry surface Yes LNy <br />17. Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant system Yes <br />c) Diversion Ditches Yes <br />18. Cracking or crushing of pipes <br />a) Spillway pipes Yes <br />b) Decant system Yes <br />('~ ``19. Trash racks clear and in place <br />1'6in c~ A.S ~t~ <br />c:\data\wpdata\damform.doc <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 />N/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />® N/A <br />NO N/A <br />N/A <br />N/A <br />N/A <br />No N/A <br />~ - <br />