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PERIODIC INSPECTION FORM <br />FTPaTER, SIDIl~1'P, OR SLURRY <br />Inspectors Name:~l ~S C~,h~ Date: G). ~~,_ qQ <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected: (~_~/_QQ <br />Facility Configuration:Cross Valley Pond <br />Site Name: I~undment #007 Location:47N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nuclar CO. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. WadE<, Min Manacr~r <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 />1D <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />Foundation Preparation (removal of vegetaCion, atunq~s., topsoil) ~ No N/A <br />Lift thickness (inches) ~ /,.,~ <br />Camaction according to approved plan ~ No N/A <br />Burning (specify extend and location) Yes ~N N/A <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and apprar, volume) <br />a.) From underdrain pipes: Yes ~ N/A <br />b.) At isolated points on embanlvnent slopes: Yes ~ N/A <br />c) At natural hillside: Yes ~ N/A <br />d) Over widespread areas Yes ~ N/A <br />e) From downstream foundation area Yes ® N/A <br />f) "Boils" beneath scream or ponded water Yes ® N/A <br />Cracks or scarps on crest Yes ® N/A <br />Cracks or scraps on slope Yes ~ N/A <br />Sloughing or bulging on slope Yes ® N/A <br />Major erosion problems Yes ® N/A <br />Surface movements in valley bottan or on hillside Yes ~ N/A <br />Erosion of tce Yes ~ N/A <br />Water impounded against tce Yes ® N/A <br />Existing embankment freeboard (feet) ~ _ Feet <br />GYacks, bulging, or erosion on upstream face Yes ~ N/A <br />Visible songs or sinkholes in slurry Surface Yes ® N/A <br />Clogging <br />a) Spillway channels and pipes Yes ® N/A <br />6) Decant system Yes ~ N/A <br />c) Diversion Ditches Yes ~ N/A <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes ® N/A <br />b) Decant system Yes ~I N/A <br />'lYash racks clear and in place ® No N/A <br />9-iv-9$ <br />