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<br />PERIODIC <br />FORM <br />V~.TER, SIDIl~NT, OR SLURRY Il~~OUI~H+IER~S <br />Inspectors Name : "~~ ~ ~ C~,.~1~ Date : 3 _ ~s . g q~ <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected: ~-L_~ } _ y$ <br />Facility Configuration:Cross Valley Pond <br />Site Name: ~undment #007 Location:47N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: Q~RT, Pe??nit #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 />7. <br />8. <br />9. <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19. <br />Foundation Preparation (removal of vegetation, stuffs., topsoil) ~ No N/A <br />Lift thickness (inches) <br />Compaction according to approved plan ~ No N/A <br />Burning (specify extend and location) Yes ~ N/A <br />Angle of slope: 3:1 upstream, 3~1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: Yes plc N/A <br />b.) AC isolated points on embar~lrnient slopes: Yes ® N/A <br />c) At natural hillside: Yes ® N/A <br />d) Over widespread areas Yes ~j N/A <br />e) From downstream foundation area Yes ~ N/A <br />fl "Boils" beneath scream or ponded water Yes ® N/A <br />Cracks or scarps on crest Yes ~y N/A <br />Cracks or scraps on slope Yes ® N/A <br />Sloughing or bulging on slope Yes ® N/A <br />Major erosion problems Yes ® N/A <br />Surface movements in valley bottan or on hillside Yes ® N/A <br />Erosion of tce Yes ~ N/A <br />Water mounded against tce Yes ~ N/A <br />bcisting embankment freeboard (feet) ~ ~ Feet <br />Cracks, bulging, or erosion on upstream face Yes ® N/A <br />Visible sumps or sinkholes in slurry surface Yes ~ N/A <br />Clogging <br />a) Spillway channels and pipes Yes ® N/A <br />b) Decant system Yes ~ N/A <br />c) Diversion Ditches Yes o~ N/A <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes @ N/A <br />b) Decant system Yes No N/A <br />Trash racks clear and in place Yes No N/A <br />3- 1 5- 9"\ <br />