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PERIODIC INSPECTION FORM <br />WATER, SIDIl~TT, OR SLURRY II~OUI~TrS <br />Inspectors Name : ~ s4 ~~.,ti1~ Date : j - /S - 4 9 <br />NPD$S ID. No.:CO-0000213 001 Date Last Inspected:~i_~9._q g <br />Facility ConfiguratiorL;Cross Vallev Pond <br />Site Name: ImDOUndment #001 Location:47N16W36BC <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla. CO. <br />Mine ID No.: <br />Owners Rep.: <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, sturtg~s., topsoil) ~ No N/A <br />2. Lift thickness (inches) <br />3. Cort¢~action according to approved plan ~ No N/A <br />9. Burning (specify extend and location) ~ Yes ~ N/A <br />5. Angle of slope: _~1 upstream, 3~1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From underdra in pipes: Yes ~ N/A <br /> b.) At isolated points on embarJm~ent slopes: Yes ~ N/A <br /> c) AC 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 stream or ponded water Yes ® N/A <br />•. Cracks or scarps on crest Yes ® N/A <br />8. Cracks or scraps on slope Yes ~ N/A <br />9. Sloughing or bulging on slope Yes ~S'jq 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 tce Yes ® N/A <br />13. Water irt¢>ounded against tae Yes ~ N/A <br />19. Existing embankment freeboard (feet) ~ _~ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes N/A <br />16. Visible surtq~s or sinkholes in slurry surface Yes N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ® N/A <br /> b) Decant system Yea ~ N/A <br /> c) Diversion Ditches Yea ® N/A <br />7B. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ® N/A <br /> b) Decant system Yes ® N/A <br />19. Trash racks clear and in place ®e No N/A <br />