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~g .. <br />PERIODIC INSPECTION FORM <br />-'=MATER, SEDIMENT, DR 6LURRY IMPOUNDMENTS <br />Inspectors Name: ~oSS ~i:aOK~ - <br />NPDES ID. No.: CO-0000213 .001 <br />-Facility.Configurations Cross Valley Pond <br />Site Name: Impoundment t 001 <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No.:CMLRD Permit 80000-81 -- <br />Owners Rep.: R. L:-Wade, Mine Manager <br />Date.Last Inspected: q-~7,~93 <br />Location: 47NIbW36BC <br />Locatians2 :ei. NW of Nucla; Co. <br />CIRCLE OR WRITE IN APPROPRIATE RESPON6E <br />1. Foundation Prepa~atimn (removal of vegetations stumps, topsoil) <br />2. Lift thickness (inches): / 2 ~~uc~-~, <br />3'. Compaction according to apprmved plan: <br />4. Burning (specify extent and location): <br />5. Angle of slope: 3:1 upstream, 3:1 downstream, <br />b. Seepage (specify lmcation~ colors and approx. volume) <br />7~ <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />Ib. <br />17. <br />18. <br />19. <br />from underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />'Bails' beneath stream or ponded water: <br />Cracks ar scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />•Major erosion problems: <br />Surface movements in valley bottom ar on hillside: <br />tErosion of toe: <br />+Water impounded against toe: <br />Existing embankment freehoard (feet): <br />increase or decrease in water level (feet): <br />Cracks, hulging~ or erasion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />sClogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />Cracking or crushing of pipes <br />20. Trash <br />Spillway pi.pes:_ <br />Decant system: _ <br />racks clear and <br />n place: <br />Ye No N/A <br />Yes No N/A <br />Na N/A <br />Yes No , N/A <br />Total = b:l <br />Yes No <br />Yes A~ N%A <br />Yes LgFI~, N/A <br />Yes ~ N/A <br />Yes o N/A <br />Yes N N/A <br />Yes N N/A <br />Yes o N/A <br />Yes o N/R <br />Yes o N/A <br />Yes o N/A <br />Yes ~,y N/A <br />Yes ~a N/A <br />Yes ~y N/A <br />Yes ~ N/A <br />Yes ®o N/R <br />'" _ Feet?oJ <br /> F e e t~~ ~,,,, <br />Yes o N/A <br />Yes N N/A <br />Yes ~% N/A <br />Yes No N/A <br />Yes No N/A <br />(Major adverse changes to these items could cause inst nd should be reported <br />to the Chief Engineer and Mine Manager for further e~Et(ST dverse conditions <br />noted in these items should normally be describe ~'C~W~c~,~~~ 'an, volumes etc.) <br />on page two mf this inspection form. 0";~5 ~';~ „~ <br />