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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~{s ~ ,bk0. Date: 3- ( o3 <br />NPDE S ID. No.:CO-0000213 009 Date Last Inspected: }Z _3p_o2 <br />Faci lity Configuration:Total Encised Pond <br />Site Name: Impoundment #009 Location:4 7N16W36 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nuc la, CO. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE R ESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., tops oil) Ye No N/A <br />2, Lift thickness (inched) <br />3. Compaction according to approved plan ~ No N/A <br />4. Burning (specify extend and location) yes No N/A <br />5. Mgle of elope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From underdrain pipes: yes ~N~ N/A <br /> b.) At isolated points on embankment slopes: Yes ® 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) "Boil s" beneath sf ram or ponded water yes ~ <br />~:~/ N/A <br />7. CZack8 Or scarps on Crest Yes ~7~i N/A <br />e. Cracks oY scraps on slope Yes ®o 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 bottom or on hillside yea ~N N/A <br />12. Erosion of Coe yes NC <br />~ N/A <br />13. Water impounded against toe Yes .. <br />(~ <br />t N/A <br />l4. Existing embankment freeboard (feet) _~ __ Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ~ N/A <br />16. Visible sumps 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 Yes ,~ <br />L~51" N/A <br />1B. Cracking or crushing of pipes <br /> a) Spillway pipes Yea ~ N/A <br /> b) Decant system Yea ~ N/A <br />19. Trash racks clear and in place ~ No N/A <br />3,,D _ 03 <br />