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PERIODIC INSPECTION RORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~SK C~„bk.c Date: ~2 e d6 - 0 ~ <br />NPDES ID. No.:CO-0000213 Date Last Inspected:Oq -1~1--06 <br />Facility Conf~.guration: Cross Vallev Pond - <br />Site Name: Impoundment #007 Location:46N15W SEC 6 <br />Mine Name: New Horizon Mine Location:l mi.NW of Nucla, CO. <br />.Mine ID No.: CDMG Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Foundation Preparation (removal of vegetation, stumps., topsoil) es No <br />Lift thickness (inches) ) Z ~ N C~ <br />Compaction according to approved plan ® No <br />Burning (specify extend and location) Yes 0° <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a,) From underdrain pipes: Yes <br />b.) At isolated points oa embankment slopes: - Yea <br />c) At natural hillside: Yes RD <br />d) Over widespread areas Yea ®' <br />e) From downsteam foundation area Yes ®, <br />f) 'Boils" beneath strain or ponded water Yes ~o <br />Cracks or scarps oa crest Yes ~o <br />Cracks oz scraps on slope Yes ~' <br />Sloughing or bulging on slope Yes <br />Major erosion problems Yes 7f~ <br />Surface movements in valley bottom or on hillside Yes Q1~> <br />Erosion of tce Yes I~ <br />Water impounded against toe Yes ~ <br /> ~ <br />Existing embanlonent freeboard (feet) ~ _ <br />Cracks, bulging, or erosion on upsteam face Yes RC~ <br />Visible sumps or sinkholes in slurry surface Yes <br />N/A <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 />~o„~ <br />Clogging <br />a) ~ Spillway channels and pipes Yes <br />b) Decant system Yes ®, <br />c) Diversion Ditches Yes No <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes <br />b) Decant system _ _ __.. _ Yes <br />Trash racks clear and in place ~ No <br />~S ~~SG~r~CYJC 1K10 <br />F:\Eng\DATA\WP\pond-banks\DAMFORM.wpd <br />N/A <br />N/A <br />N(A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />NJA <br />N(A <br />N/A <br />Feet <br />NfA <br />N/A <br />NJA <br />N(A <br />N/A <br />N/A <br />N/A <br />N/A <br />o Gn ~ <br />