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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~ e. ",,.1~1t, <br />NPDES ID. No.:CO-0000213 <br />Date: 03- 1 4-- oL. <br />Date Last Inspected: ~~-ol -05 <br />Facility Conf;guration: Cross Valley 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 />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 />pe~6 /s <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No <br />Lift thickness (inches) / Z. i.v~l <br />Compaction according to approved plan ~. No <br />Buzning (specify extendand location) Yes NQ~ <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volwae) <br />a.) Prom underdrain pipes: Yea No <br />b.) At isolated points on embankwent slopes: Yes Q <br />c) At natural hillside: Yes <br />d) Over widespread areas Yes <br />e) From downsteam foundation area Yes <br />f) "Boils" beneath strain or ponded water Yes d~ <br />Cracks or scarps oa crest Yes <br />Cracks or scraps on slope Yes ~~ <br />Sloughing or bulging on slope Yes [~ <br />Major erosion problems Yes <br />Surface movements in valley bottom or on hillside Yes <br />Erosion of toe Yes <br />water impounded against toe Yes Q <br />Existing embankment freeboard (feet) <br />Cracks, bulging, or erosion on upateam face Yea ®N . <br />Visible sumps or sinkholes in slurry surface Yea ~' <br />Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant system Yes <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes C~1 <br />b) Decant system Yes <br />Trash racks clear and in <br /> <br />F:\Eng\DATA\WP\pOnd-banks\DAMFORI <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 />N/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />iq-~o c, <br />