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<br />.r <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: Zoss Gubk4 Date: G_/q-_o z <br />NPDE S ID, No.:CO-0000213 009 Date Last Inspecte d: 3. ~~ _o Z <br />Faci lity Configuration:Total Encised Pond <br />Site Name: Impoundment #009 Location: 47N16W36 <br />Mine Name: New Horizon Mine Location: 2 mi.NW o f Nucl a. CO_ <br /> <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Mana4er <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal OE vegetation, stumps., topsoil) Q y No N/A <br />2. 4itt thickness (inches) <br />3. Compaction according to approved plan ~Yr~ No N/A <br />9, Burning (specify extend and location) Yes ~ N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From unde rdrain pipes: Yes ~ N/A <br /> b.) At isolated points on embankment slopes: Yes ~ N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) Over widespread areds Yes No N/A <br /> e) From down sC eam foundation area Yes - N/A <br /> f) "Boil s° beneath stram or ponded water Yes ~ N/A <br />7. Cracks or scarps on crest Yes ~"d N/A <br />e. Cracks or scraps on slope Yes ® N/A <br />9. Sloughing or bulging on slope Yes (~ N/A <br />10. Major erosion problems Yes ® N/A <br />11. Surface movements in valley bottom or on hillside Yes ~ N/A <br />12. Erosion of toe Yes ~ N/A <br />13. Water impounded against toe Yes ~DtQi <br />i N/A <br />14. Existing embankment freeboard (feet) .._ ~__ Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ® N/A <br />16. Visible sumps or sinkholes in slurry surface Yes ®, N/A <br />1~. Clogging <br /> a) Spillway channels and pipes Yes ® N/A <br /> b) Decant system Yes ®, N/A <br /> c) Diversion Ditches Yes ~ N/A <br />18. Cracking or crushing of pipes <br /> al Spillway pipes Yes CND N/A <br /> b) Decant system Yes ~p. N/A <br />19. Trash racks clear and in place ~ No N/A <br />~u N'D lam` ~~ <br />G. ,~_ov <br />