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PERIODIC INSPECTION FORM <br />N4~,TER, SIDII+~TT, OR SLURRY <br />Inspectors Name:'~~fs ~'~,,b~ Date: GJ, io_ ~o <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: ~T~i - 9° <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #002 Location:47N15W31CB <br />Mine Name: New Horizon Mine Location: mi.NW of Nucla CO. <br />Mine ID No.: CMLR7> Per_?n;t #0008-81 <br />Owners Rep.: R. L. Wade Mine Manacrer <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1 <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 />18 <br />19 <br />Povndation Preparation (removal of vegetation, stumps., topsoil) <br />Lift thickness (inches) <br />Cortq~action according to approved plan <br />Burring (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 underdrain pipes: <br />b.) At isolated points on embankrtrst slopes: <br />c) At natural hillside: <br />d) Over widespread areas <br />e) From downstream foundation area <br />f) "Boils" beneath scream or ponded water <br />Cracks or scarps on crest <br />Cracks or scraps on slope <br />Sloughing or bulging on slope <br />Major erosion prvblerts <br />Surface movements in valley bottom or on hillside <br />Erosion of tce <br />Water impounded against tce <br />Existing embankment freeboard (feet) <br />Cracks, bulging, or erosion on upstream face <br />Visible suds or sinkholes in slurry surface <br />Clajging <br />a) Spillway channels and pipes <br />b) Decant system <br />c) Diversion Ditches <br />Cracking or crushing of pipes <br />a) Spillway pipes <br />b) Decant system <br />Trash racks clear and in place <br /> <br />Yes <br />Yes <br />® N/A <br />N/A <br />No N/A <br />4 <br />es No N/A <br />No N/A <br />Yes ~ N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ~c N/A <br />Yes ® N/A <br />Yes ~ N/A <br />Yes C~ N/A <br />Yes ® N/A <br />Yes ~ ~ N® N/A <br /> Feet <br />Yes ~ N/A <br />Yes 0° N/A <br />Yes ~ N/A <br />Yes N/A <br />Yes ~ N/A <br />