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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors [Same: ~~~ ., ~,~ Date: ~-Z - ZI -. z.ow <br />NPDES ID. No.:CO-0000213 001 <br />Facility Configuration:Cross Valle <br />Site Name: Impoundment #001 <br />Mine Name: New Horizon Mine <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade. Mine Mana <br />CIRCLE OR WRITE IN AP <br />Date Last Inspected: ~.'z.-t - OJ <br />v Pond <br />Location:4"7N16W36BC <br />Location:2 mi.NW of Nucla. CO. <br />per <br />?ROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <br />2 <br />3 <br />4 <br />5 <br />6 <br />7. <br />B. <br />9. <br />10 <br />11 <br />12 <br />13 <br />19 <br />15 <br />16 <br />17 <br />18 <br />19 <br />Lift thickness (inches) <br />Compac[ron according to approved plan es No <br />Burning (specify extend and location) Yes <br />Anqle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: Yes <br />b.) At isolated points on embankment slopes: Yes ~70~ <br />c) At natural hillside: Yes ~p <br />d) Over widespread areas _ Yes `~ <br />e) From downsteam fou ndatr on area Yes N <br />f~ "Boils" beneath stram or pended water- Yes <br />Cracks or scarps on crest Yes <br />Cracks or scraps on slope- Yes Q <br />Sloughing or bulging on slope Yes Q <br />Major erosion problems Yes <br />Surface movements in valley Uot[om or on hillside Yes <br />Erosion of toe Yes <br />water impounded against toe Yes <br />Existing embankment freeboard (feet) <br />Cracks, bulging, or erosion on upsCeam face Yes <br />Visible sumps or sinkholes in slurry surface Yes <br />Clogging <br /> <br />a) Spillway channels and pipes <br />Yes /~' <br />xy <br />p, <br />61 Decant 5}'s tem Yes ^ <br />/1 <br />c) Diversion Ditches Yes <br />C rac k.i ng or crushing of pipes <br />a~ Spillway pipes Yes <br />b) Decant system- Qo <br />Trash racks cleat and in No <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 />N/A <br />IJ/A <br />N/A <br />N/A <br />N/A <br />c: \daCa\wpda to \damfozm.doc <br />/~ <br />