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PERIODIC INSPECTION FORM <br />WATER, SIDII~TT, OR SLURRY IIYlPOUI~IDMEDTrS <br />-fir ~ c.•a <br />Inspectors Name : ~ , ~ , C~~~ Date <br />NPDES ID. No.:CO-0000213 005 Date Last Inspected: ~_ Z3-9 l <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #005 Location:47N16W36AD <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla ~ CO. <br />Mine ID No.: <br />Owners Rep.: R. L. Wade Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, sturtq~s., topsoil) ~ No N/A <br />,,. Lift thickness (inches) <br />3. Ccxnpaction according to approved plan ~ No N/A <br />4. Burning (specify extend and location) Yes ~ N/A <br />5. Angle of slope: ._3_:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. Volume)' <br /> a.) From underdrain pipes: Yes ~ N/A <br /> b.) A[ isolated points on embankment slopes: Yes ®° N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) Over widespread areas Yes Q° N/A <br /> e) From downstream foundation area Yes ~ N/A <br /> t) "Boils" beneath scream or ponded water Yes ® N/A <br />7. Cracks or scarps on crest Yes N/A <br />8. Cracks or scraps on slope Yes 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 Yes ® N/A <br />12. Erosion of tce Yes ® N/A <br />13. Water impounded against tce Yes ( ® N/A <br />14. Existing embankment freeboard (feet) ~~ L Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ~ N/A <br />16. Visible sins or sinkholes in slurry surface Yes ® N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes Qp~ N/A <br /> b) Decant system Yes ~ N/A <br /> c) Diversion Ditches Yee ® N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes N/A <br /> b) Decant system Yes ~ <br />o N/A <br />19. Trash sacks clear and in place ~ No N/A <br />11.7C.'j~.aC \h w'rl.o yy\ <br />REG/Sl <br />dJIS ~GFq~ <br />~~O <br />9-~s- <br />