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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: 1 _ ~ ~ ,~.k~ Date: \Z_~_~9 <br />NPDES ID. No.:CO-0000213 009 Date Last Inspected: q- q _ q°t <br />Facil ity Configuratior.:Side Hill Pond <br />Site Name: Impoundment #009 Location:9 7N16W36CB <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br /> <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owner s Rep.: R. L. Wade. Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE R ESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., tops orll ~, No N/A <br />2. Lift thickness (inches) <br />3. Compaction accordrnq to approved plan ~ No N/A <br />4. Burning (specify er.tend and location) Yes ~p N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />E. Seepage (specify loca Cr on, color, and app ror,. volume) <br /> a.) From underdrain pipes: Yes (f1 N/A <br /> b.) P.t isolaCeU poinCS on embanY.ment slopes: Yes © N/A <br /> c) At naCUral hillside: Yes N N/A <br /> d) Over widespread areas _ Yes © N/A <br /> e) From downsteam foundation area _ Yes ~ N/A <br /> fl 'Boils" beneath stram or ponded water _ Yes Q N/A <br />7. Cracks or Scarps on crest Yes ® N/A <br />B. Cracks or scraps on slope Yes ~j N/A <br />9. Sloughing or bulging an slope- 'i es ® N/A <br />10. Ma]or eiOSion problems Yes ® N/A <br />11. Surface movements in valieq bot[om or on hi; lside k'es ~ NiA <br />12. Erosion of toe Yes ® N/A <br />13. Water impounded against [oe Yes ~ J J© N/A <br />14. Existing eJMankment freeboard (feet) II Z Feet <br />15. Cracks, bul ginq, er erosion on upsteam face Yes ~ N!A <br />1G. Visible Sumps m sinkholes in slurry Surface Yes ® N/A <br />17. Clogging <br /> a) Spillway channels and pipes _ Yes Q tJ/A <br /> bl Decant sv's Cem ]'e5 Llr N/A <br /> c) Diversion DiCCh as Yes ~ N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes 'i es 7~p N/A <br /> G) Decant system _ Yes ® N/A <br />19. Trash rack clear and in place es No H/A <br />~a~a ,5 a~ <br />c:\data\wpdaCa \damf orm.doc <br />1L-~-qci <br />