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PERIODIC INSPECTION FORM <br />WATER, SIDIMFR~Tr, OR SLURRY Il~OUAII]ME[~TS <br />Inspectors Name : ~~~~ ~,~~.. Date : 3_ ~s _ c~ <br />NPDES ID. No.:CO-0000213 005 Date Last Inspected:yZ,_~~+. qg <br />Facility Configuration:.id Hill pond <br />Site Name: Impoundment #005 Location:47N16W36AD <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla CO. <br />Mine ID No.: C <br />Owners Rep.: R <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, sturt¢rs., topsoil) ~ No N/A <br />?. Lift thickness (inches) <br />3. Con action according to approved plan f~ No N/A <br />4. 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.) Fran underdrain pipes: Yes ~ N/A <br /> b.) At isolated points on embarilunent slopes: Yes ~ N/A <br /> c) At natural hillside: Yes 7Q) N/A <br /> d) Over widespread areas Yes ~ N/A <br /> e) Frcm downstream foundation area Yes ® N/A <br /> f) "Foils" beneath scream or ponded water Yes ® N/A <br />7. Cracks or scarps on chest Yes ~ N/A <br />8. 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 bettan or on hillside Yes ®' N/A <br />12. Grosion of tce Yes ® N/A <br />13. Wafer mounded against tce Yes ~(~' N/A <br />14. 6cisting embankment freeboard (feet) ~ _ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ~ N/A <br />16. Visible surtps or sinkholes in slurry surface Yes ~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ~ N/A <br /> b) .Decant system Yes ® N/A <br /> c) Diversion Ditches Yea ~ N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ~Vy. N/A <br /> b) Decant system Yes ~ N/A <br />19. Trash racks clear and in place Ye No N/A <br />Tr.~c o$ l-J~~+~ ~r bd~ledr. <br />3- i S- 4 a <br />