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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:~,_.;.s_~~~ Date: ~2 -21- 2roo <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: q-Z-r-2 <br />~ <br /> . <br />Facility C orlfiguration:Side Hill Pond <br />Site Name: Impoundment #002 Location:97N15W31CB <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 Preparatron (removal of vegetation, stumps., topsoil) ~e 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 />14 <br />15 <br />16 <br />17 <br />18 <br />\19. <br />~or \ ~5 <br />Lift thickness (inches) <br />Compaction according to approved plan <br />Burning (specify extend and location) <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify locatron, color, and approx. volume) <br />a.l From underd ra in pipes: <br />b.) At isolated points on embankment slopes: <br />c) At natural hillside: <br />d) Over widespread areas_ <br />el From downsteam foundation area __ <br />f) "Boils" benea [h stram or ponded water <br />Cracks or scarps on crest <br />Cracks or scraps on slope <br />Sloughing or bulgrng on slope <br />Major erosion problems <br />Surface movements in valley bottom or on hillside <br />Erosion of toe <br />water impounded against toe <br />Eaistinq embankment freeboard (feet) <br />CracY,s, bulging, or erosion on upsteam face <br />Visible sumps or sin k.holes in slurry surface <br />Clogging <br />al Spillway channels and pipes <br />b) Decant system <br />CI Diversion Ditches <br />CracY,i ng or crushing of pipes <br />al Spillway pipes_ <br />b) Decant system <br />Trash racks clear and in place <br />~t~ <br />c:\da[a\wpdata\damform.tloc <br />® No <br />Yes No <br />'Yes Q <br />Yes do <br />Yes <br />Yes <br />Yes <br />Yes N <br />Yes <br />Yes <br />Yes LNID <br />Yes <br />Yes <br />Yes <br />Yes ) ~~ <br />s~ <br />Yes <br />Yes <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 />Beet <br />N/A <br />N/A <br />Yes ® N/.A <br />Yes ©o N/A <br />Yes Ruo N/A <br />Yes ® N/A <br />Yes o~ N/A <br />(mss No N/A <br />