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RECEIVED <br />PERIODIC INSPECTION FORM DEC 1 U ~ggg <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Division of Minerals 8 Geology <br />Inspectors Name:Rus~ C~bko Date: ~Z -(„- l9 <br />NPDES ID. No.:CO-0000213 001 Date Last Inspected: Q -R ..q q <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 />Owners Rep.: R. L. Wade, Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIA TE RESPONSE <br /> <br />1. Foundation Preparation (removal of vegetation, stumps. , topsoil) Q No <br />~. Lift thickness (inches) <br />3. Compaction according to approved plan 'Ye No <br />4. Burning Ispecify extend and location) Fes No <br />5. Anyle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage Ispecify location, color, and approx. volume) <br />7. <br />B. <br />9. <br />10 <br />11 <br />12 <br />13 <br />19 <br />15 <br />16 <br />17 <br />18 <br />19 <br />a.) From underdrain pipes: Yes <br />b.) At isolated points on embankment slopes: 'tes Lff~ <br />c) At natural hillside: Fes <br />d) Over widespread areas Yes Poo <br />e) Fi om downstedm fOUnddLlOn area Yes <br />f) "Boils" beneath stram or pond ed water Yes <br />Cracks or scarps on ores[ Yes ~1 <br />Crac h.s or scraps on slope Yes Q~ <br />Sloughing or bulging on slope Yes Jo <br />Major erosion problems Yes Jo <br />Surface movements rn valley bottom or on hillside 'ies ~ <br />Erosion of toe 1'es <br />water impounded against toe Yes <br /> <br />Existing embankment freeboard (feet) <br />~0 <br />CracY.s, bulyin g, or erosion on upsteam face k'es <br />Visible sumps or sinkholes in slurry surface Yes No <br />Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant system Yes <br />cl Dive is ion Ditches Yes <br />Crac4:ing or crushing of pipes <br />a) spillway pipes 1'es <br />b) Decant system 'f es <br />Ttash racY.s clear and rn place <br />c:\data\wpdata\damform.doc <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 />fl/A <br />N/A <br />N/A <br />C]/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />No N/A <br />N/A <br />4o N/A <br />Q, N/A <br />N/A <br />N/A <br />/L plc - ~ ~l <br />