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<br />PERIODIC INSPECTION FORM <br />WATER, SIDII~NT, OR SLURRY Il~OUNCA~TPS <br />Inspectors Name : jZ 1. _ ~`~~ka Date : q _ ~ g . 91 <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: 1-z.3- 9 Z <br />Facility Configuration:side Hill Pond <br />Site Name: Irrrooundment #002 <br />Mine Name: New Horizon Mine <br />Mine ID No.: CMLRD Permit #0008-81 <br />Location:47N15W31CB <br />Location:2 mi.NW of Nucla CO. <br />Owners Rep.: R. L. Wades, Mine Man~gger <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1 <br />2 <br />3 <br />3 <br />5 <br />6 <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />id. <br />15. <br />1`. <br />17. <br />lb <br />19 <br />Foundation Preparation (removal of vegetation, stuffs., topsoil! <br />Lift thickness (inches) <br />Conq~action according to approved plan <br />Burning (specify extend and location) <br />Angle of slope: 3~1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: <br />b.) At isolated points on embankment slopes: <br />ci At natural hillside: <br />d) Over widespread areas <br />e) From downstream foundation area <br />f) "Boils" beneath scream or ponded water <br />Cracks or scarps on crest <br />Cracks or scraps on slope <br />Sloughing or bulging on slope <br />Major erosion problems <br />Surface movements in valley bottan or on hillside <br />Erosion of tce <br />Water imq~ounded against tce <br />Existing embankment freeboard (feet) <br />Cracks, bulging, or erosion on upstream face <br />Visible surtq~s or sinkholes in slung surface <br />Clogging <br />ai Spillway channels and pipes <br />b) Decant system <br />c) Diversion Ditches <br />Cracking or crushing of pipes <br />a) Spillway pipes <br />b) Decant s}'stem <br />Trash racks clear and in place <br />TY a ~.< o ~ tea? e.~.-• ~t ~ •• ~oa l~lo rr~ <br />No N/A <br />No N/A <br />Yes ~ N/A <br />Yes 0° N/A <br />Yes ® N/A <br />Yes ~ N/A <br />Yes ~ N/A <br />Yes ~ N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ~ IJ/A <br />Yes ®o N/A <br />6 ( <br />. L Feet <br />Yes ® N/A <br />Yes ® N/A <br />Yes ~ N/A <br />Yes Q N/A <br />Yes ~ N/A <br />Yes ® N/A <br />Yes ® N/A <br />® No N/A <br />q ,,s- q -z <br />