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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: Zas~ G~~Y4. <br />NPDES ID. No.:CO-0000213 <br />Date: 03- 1 ~ - 06 <br />Date Last Inspected:- p~ -oS <br />Facility Configuration: Total incised Pond <br />Site Name: Impoundment #009 Location:47N16W SEC 36 <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 />1B <br />19 <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Foundation Preparation (removal of vegetation, atumps.,'topsoil) ~ No <br />Lift thickness (inches) 1 Z 1 N cl <br />Compaction according to approved plan T ~ No <br />Burning (specify extend and location) Yea ®o <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: Yea N~ <br />b.) At isolated points on embankment slopes: Yes I~ <br />c) At natural hillside: Yes <br />d) Over widespread areas Yes t~j <br />e) From downsteam foundation area Yea <br />f) •BOils• beneath scram or ponded water Yes " <br />Cracks"or scarps on crest Yes ~ - <br />Cracks or scrape 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 tce Yes N <br />o <br /> <br />Nater impounded against tce <br />Yes / <br />~ <br />` <br /> <br />Existing embankment freeboard (feet) ( <br />~ <br />J <br />Cracks, bulging, or erosion on upsteam face Yea <br />Visible sumps or sinkholes in slurry surface Yes <br />Clogging <br />a) spillway channels and pipes Yes <br />b) Decant system Yes <br />c) Diversion Ditches ~ Yea N <br />Cracking or crushing Of pipes <br />a) Spillway pipes Yea <br />b) Decant system Yes <br />Trash racks clear sad is ~ <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 />NIA <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 />N/A <br />l -O h ~ ! S ~r~ <br /> <br />F:\Eng\DATA\WP\pond-banks\DAMFOR <br />