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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~a~ ~~,~,1v~ Date: 1Z -z1-Zo„ <br />NPDES ID. No.:CO-0000213 006 Date Last Inspected: q•'zz-two <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #006 Location:97N16W36AC <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. Founda[ion Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />i6 <br />17 <br />18 <br />19 <br />Lrft thrckness Irnc.h es) <br />Compaction according to approved plan Yes <br />Burning (specify extend and loca[ronJ Yes <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain prpes: Yes <br />b.) At isolated points on embankment slopes: Yes <br />c) A[ natural hillside: _ Yes <br />d) Over widespread areas Yes <br />el Fcom downsteam fo~andatior. area Yes <br />f) "BOrls" beneath stram or pond ed water Yes <br />Cracks or scarps on crest Yes <br />Cracks or scraps on slope Yes <br />Sl oughrng 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 Yep <br />Existing embankment freeboard (feet) <br />Cracks, bulgrng, or erosion on upsceam face Yes <br />Visible sumps or sinkholes in slurry surface Yes <br />Clogging <br />al Spillway channels and pipes Yes <br />b) Decan[ system Yes <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />a) Spillway pipes-- Yes <br />b) Decant <br />Trash racks ele <br />Na D,sr.~.~.~, <br />c:\dafa\wpdata \damform <br />(NOS <br />~/ <br />Q <br />^~^ <br />`-~I+J <br />~In~ <br />/~/,~ <br />L~ <br />'~'' <br />No <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />CI/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 />~. CI/A <br />©o N/A <br />H/A <br />® N/A <br />~w y~ N/A <br />No N/A <br />f L . Z ! - Zf'°~ <br />