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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: 1035 G,,1ok.., Date: 3- to-ZaoD <br />NPDES ID. No.:CO-0000213 006 Date Last Inspected: ~ IZ_6-19R g <br />Facility Configuration:Cross Valle ~ Pond <br />Site Name: Impoundment #006 Location:97N16W36AC <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: CMLRD Permit #0008-61 <br />Owners Rep.: R. L. Wade, Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <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 />Lift thickness (inches) <br />Compaction according Co approved plan <br />Burning (specify extend and loca [i onl <br />Angle of slope: J~1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.l From underd rain pipes: <br />b.l At isolated points on embankment slopes: <br />c) A[ natural hillside: <br />d) Over widespread areas <br />e) From downs[eam foundation area <br />f) "Boils" beneath stcam or ponded water <br />Cracks or scarps on crest <br />Cracks or scraps on slope <br />Sloughing or bulging on slope <br />Major e[osion problems <br />Surface movements in valley bottom or on hillside <br />Erosion of toe <br />water impounded against toe <br />Existing embankment freeboard (feet) <br />Cracks, bulging, or erosion on ups team face <br />Visible sumps or sinkholes in slurry surface <br />Clogging <br />aI Spillway channels and pipes <br />b) Decant system <br />c) Diversion Ditches <br />Cracking or crushing of pipes <br />al Spillway pipes <br />bl Decant system <br />Trash racks clear and in pl <br />Bona 15 D~ <br />c:\data\wpda[a\damform.doc <br /> No N/A <br />Yes Np, 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 ® N/A <br />Yes ~ N/A <br />Yes ~ N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes I ® N/A <br />~ Feet <br />Yes ® N/A <br />Yes No N/A <br />Yes ~ N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes <br />Yes <br />~~ <br />Y~ N/A <br />® N/A <br />No N/A <br />3~/o-Z+o <br />