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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: J~ty.SG Gobi Date: 03- 14-06 <br />NPDES ID. No.:CO-0000213 Date Last Inspected: \1-of-css <br />Facility Configuration: Total Incised Pbnd - <br />Site Name: Impoundment #0014 Location:47N16W SEC 31 <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 />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No <br />Lift thickness finches) <br />Compaction according to approved plan Y~ No <br />Burning (specify extend and location) Yea Nom <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 on embanlanent slopes: Yes ®° <br />c) At natural hillside: Yes <br />d) Over widespread areas Yes <br />e) prom downsteam foundation area Yea <br />f) °BOils" beneath straw or ponded water Yes <br />Cracks or scarps on crest Yes 7q <br />Cracks or scrape on slope Yes <br />Sloughing or bulging on slope Yea <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 ~Io <br /> <br />Existing embankment freeboard (feet) ~ _ <br />Cracks, bulging, or erosion on upsteam face Yes <br />Visible sumps or sinkholes in slurry surface Yes ~/ <br />Clogging <br />a) Spillway channels and pipes Yes No <br />b) DCCant system Ye8 No <br />C) D1VeYaion Ditches Ye8 NO <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes No <br />b) Decant system Yes No <br />Trash racks clear and in <br /> <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 />Fee[ <br />N/A <br />N/A <br /> <br />N/ <br />bona /J~ h~ ~' S c L. c *S ~ <br />F:\Eng\DATA\WP\pond-banks\DAMFOW <br />~~y- oG <br />