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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~~ ~~„ b~ Date: ~,Z -Z1-"iooc'~ <br />NPDES ID. No.:CO-0000213 006 Date Last Inspected: g-'Z'I-2w~ <br />Facility C onfiguration:Cross Valle y Pond <br />Site Name: Impoundment #006 Location:47N16W36AC <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 Prepaxati on (removal of vegetation, stumps., topsoil) ~ No N/A <br />2 <br />3 <br />9 <br />5 <br />6 <br />7. <br />8. <br />9. <br />10 <br />12 <br />12 <br />13 <br />19 <br />15 <br />16 <br />17 <br />18 <br />19. <br />Lift thickness (inches) <br />Compaction according to approved plan Yes <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 underdxain pipes: Yes <br />b.) At isolated points on embankment slopes: Yes <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 <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 toe Yes <br />Water impounded against toe Yes <br />Existing embankment freeboartl {feet) <br />Cracks, bulging, or erosion on upsteam face Yes <br />Visible sumps 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 />a7 Spillway pipes Yes <br />b) Decant system Yes <br />Trash racks clear any <br />No <br />No <br />l".`G <br />/~/-~ <br />lS+ <br />t <br />~~ __ <br />No <br />N/A <br />N/A <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 />Feet <br />N/A <br />N/A <br />N/A <br />® N/A <br />N/A <br />^~ N/A <br />~y N/A <br />NO N/A <br /> <br />