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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: 1Za« C~~~„ Date: (Z. -6- 99 <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: q _q ,.q 9 <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #002 Location:97N15W31CB <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 APPROPRIATE RESPONSE <br />1. Fo undatron Preparation (removal of vegeta tc on, stumps., topsorl) Ye No N/P. <br />2 <br />3 <br />4 <br />5 <br />6 <br />7. <br />8. <br />5. <br />10. <br />11 <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />16 <br />15 <br />Lift thrcY.ness (inches) <br />Compaction according to approved plan <br />Burning (specify extend and locatroN <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 embankment slopes: <br />c) At natural hillside: <br />d) Over widespread areas <br />e) From downsteam foundation area <br />f) "Boils" beneath stram or ponded water <br />Cracks or scarps on crest <br />Crack or scraps on slope <br />Sloughing or bulging on slope <br />t4a7or erosion problems <br />Surface movements rn valley bottom or on hillside <br />Erosion of toe <br />Water impounded against Coe <br />E::r sting embankment freeboard (feet) <br />Cracks, bulging, or erosron on upsteam face <br />'~/r sable sumps or sinkholes in slurry surface <br />Clogging <br />a) Spillway r_hannels and pipes <br />b) Decant system <br />c) Diversion Ditches <br />Cracking or crushing of prpes <br />a) Spillway pipes <br />b1 Decant <br />Trash racks cle <br />~s o ., chi , s a'~~ <br />c:\daCa \wpdata\damform <br />(~ No <br />Yes <br />Yes N <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes ~i <br />Yes <br />Yes <br />Yes <br />Yes ~7 <br />Yes <br />Yes IJ <br />Yes 11~ <br />Yes ~ <br />Yes Jo <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 />tJ/A <br />N/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />Yes ~ N/A <br />Yes ® IJ/A <br />Yes ~ tJ/A <br />'fes C] iJ/A <br />/z-6-~q <br />