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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OA SLURRY IMPOUNDMENTS <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 />16. <br />17. <br />ld <br />19 <br />Inspectors Name: Z ~s ~,dk~ Date: ~Z. -L(_~) <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected: 9~Z-r-Zuo.~ <br />Facility Configuration:Cross Vallev Pond <br />Site Name: Im~3oundment #007 Location:47N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla. CO. <br />Mine ID No.: CMLRD Permit #0006-81 <br />Owners Rep.: R. L. Wade. Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ® No N/A <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 location, color, and approx. volume) <br />a.) From underd rain pipes: <br />b.) At isolated pornts on embankment slopes: <br />c) At natural hillside: <br />d) Over widespread areas <br />el From downsteam foundation area <br />f) "Boils" beneath stram or ponded wa ter_ <br />Cracks or scarps on crest <br />Cracks or scraps on slope <br />Sloughing or bulging on slope <br />Major erosion problems <br />Surface movements rn valley bottom or on hills r~ <br />Erosion of toe <br />Water impounded against toe <br />Ex rsting embankment freeboard (fee[1 <br />Cracks, bulging, or erosion on upsceam face- <br />Visible sumps or sinY.holes ir. starry surface <br />Clogging <br />a) Spiliway channels and pipes <br />b) Decant system <br />c) Diversion Di [ches <br />Qacking or crushing of pipes <br />a) Spillway pipes <br />b) Decant system <br />Tra s\\h rac kls clear and in place <br />IS V~a~ O`SGMC,r~,r~ q-! ~, YNC ~'~ <br />pow ~ <br />R, ~~~S~ a`s~.o~~,,r~ , v,a o ~.v,a <br />c:\data\wpdata \damform.doc <br />Ye No N/A <br />Yes No N/A <br />Yes ©o <br />Yes <br />Yes <br />Yes ~' <br />Yes <br />Yes <br />Yes <br />Yes (~~ <br />Yes <br />Yes <br />Yes <br />Yes ~• <br />Yes No <br />Yes ~d <br />Yes ~9 <br />N/A <br />N%A <br />H/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 />PI/A <br />Yes ~ N/A <br />Yes ~ N/A <br />Yes ~I N/A <br />Y,es ~ N/A <br />Yes ~e N/A <br />Q NO N/A <br />?, ~ lJ~~ <br />Z - 2 1 . 1.00..7 <br />