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PERIODIC INSPECTION FORM <br />WATER, SIDIl~TP, OR SLURRY II~OUI~TTS <br />Inspectors Name : ~ss ~~~~ Date : 3 . i S , q q <br />NPDES ID. No.:CO-0000213 004 Date Last Inspected: ~-t,_~4.. qg <br />Facility Configuration side Hill Pond <br />Site Name: Impoundment #004 Location:47N16W36CB <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla CO. <br />Mine ID No.: C~'II~RD Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br /> <br />7 <br />8. <br />9. <br />10 <br />11 <br />12 <br />13 <br />19 <br />15 <br />16 <br />17 <br />18 <br />19 <br />Foundation Preparation (removal of vegetation, sturtq~s., topsoil) Ye No <br />Lift thickness (inches) <br />Cortq~action according to approved plan <br />Burning (specify extend and location) <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) AC natural hillside: <br />d) Over widespread areas <br />e) From downstream foundation area <br />f) "Boils" beneath scream or ponded water <br />Cracks or scarps on crest <br />Cracks or scraps on slope <br />Sloughing or bulging on slope <br />Major erosion problems <br />Surface movements in valley bot[om or on hillside <br />Erosion of tce <br />Water irt¢~ounded against tce <br />Existing ertibatilonent freeboard (feet) <br />Cracks, bulging, or erosion on upstream face <br />Visible sumps or sinkholes in slurry surface <br />Clogging <br />a) Spillway channels and pipes <br />b) Decant system <br />c) Diversion Ditches <br />Cracking or crushing of pipes <br />a) Spillway pipes <br />b) Decant system <br />Trash racks clear and in place <br /> <br />N/A <br />No N/A <br />Yes ® N/A <br />Yes ~ N/A <br />Yes ~I N/A <br />Yes ®o N/A <br />Yes ~ N/A <br />Yes ~ N/A <br />Yes ~ N/A <br />Yes ®, N/A <br />Yes ~ N/A <br />Yes ~ N/A <br />Yes ~ N/A <br />Yes ®o N/A <br />Yes ® N/A <br />Yes ~ ~ N/A <br />l <br />~~ l Feet <br />Yes ® N/A <br />Yes ~ N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ~ N/A <br />Yes <br />Yes <br />Ye <br />® N/A <br />N/A <br />No N/A <br /> <br />