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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~0_4~. ~ybkq Date: 3 -~$-03 <br />NPDES ID. No.:CO-0000213 007 Date Last Inspecte d:~Z-3~-o'L- <br />Faci lity Configuration:Cross Valley Pond <br />Site Name: Impoundment #007 Location: 46N15W6 <br />Mine Name: New Horizon Mine Location: 2 mi.NW of Nucla. CO. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade. Mine Mana~ier <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan ~ No N/A <br />4. Burning (specify extend and location) Yes ~ N/A <br />s. Angle of elope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From underdrain pipes: Yes No~ N/A <br /> b.) At isolated points on embankment slopes: Yes ~q N/A <br /> c) At natural hillside: Yes ® N/A <br /> d) over widespread areas Yes ® N/A <br /> e) From downsteam foundation area Yes ® N/A <br /> f) "Soil s" beneath stram or ponded water Yes QJ~y N/A <br />7. Cracks or scarps on crest Yes ~ N/A <br />e. Cracks or scraps on elope Yes @ N/A <br />9. Sloughing or bulging on elope Yes ®o N/A <br />10. Major erosion problems Yee ~ N/A <br />11. Surface movements in valley bottom or on hillside Yes ~ N/A <br />12. Eioaion of toe Yea 4~ N/A <br />13. Water impounded against toe Yea , ® N/A <br />14. Existing embankment freeboard (feet) ~ _ Peet <br />15. Cracks, bulging, or erosion on upsteam face Yes N N/A <br />16. Visible sumps or sinkholes in slurry surface Yea 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 Yes ® N/A <br />18. Cracking or crvshing of pipes <br /> d) Spillway pipes Yes ~ N/A <br /> b) Decant System Yes L~ N/A <br />19. TYash racks clear and in place ~ No N/A <br />3-Iv_ 03 <br />