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RECEIVED <br />SEP 141999 <br />PERIODIC INSPECTION FORM DivisionotMinerals&Geology <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:~~~y C b~ Date: <br />NPDES ID. No.:CO-0000213 001 Date Last Inspected: /__~~, qc~ <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #001 Location:97N16W36BC <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owne rs Rep.: R. L. Wade. Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIAT E RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Yes No N/A <br />2. Lift thickness (inches) <br /> <br />3. Compactron according to approved plan ® t7o N/A <br />4. Burning (specrfy extend and location) Yes ~ N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. vol umel <br /> a.l From underdrain pipes: Yes ® N/A <br /> b.l At isolated points on emban kment slopes: Yes `Ntl~ N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) Over widespread areas Yes ~ N/A <br /> e) From downsteam foundation area Yes ® N/A <br /> f) "Boils" beneath scram or ponded water Yes ~ N/A <br />7. Cracks or scarps on crest Yes ~ N/A <br />8. Cracks or scraps on slope Yes ~ N/A <br />9. Sloughing or bulging on slope Yes ~ N/A <br />10. Major erosion problems Yes ~ N/A <br />11. Surface movements in valley bottom or on hillside Yes ® N/A <br />12. Erosion of toe Yes ~ N/A <br />13. Water impounded against toe Yes ~o N/A <br />14. Existing embankment freeboard (feet) /n~ Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ® N/A <br />16. Visible sumps or sinY.holes in slurry surface Yes ® N/A <br />17. Clogging <br /> a) Spillway channels and prpes Yes ~ N/A <br /> b) Decant System Yes ~ N/A <br /> c) Dive rS ion Dl tches Yes ~ N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes 1[ly N/A <br /> b) Decant System Yes ~ N/A <br />19. Trash racks clear and in place ~. No N/A <br />c:\data\wpdata\damform.doc <br />`J ~ y`~ <br />