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PERIODIC INSPECTION FORM <br />WATER, SIDII+~TP, OR SLURRY <br />Inspectors Name : R , L _ C~u~kw Date : q _ ~ g . q <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected: ~_ z3-9 l <br />Facility Configuration: ro Va11 y and <br />Site Name: Ittmoundment #007 Location:47Ni5W6 <br />Mine Name: New Horizon Mine Location:2 mi_.NW of Nucla CO. <br />Mine ID No.: C'NII~RD Permit #0008-81 <br />Owners Rep.: R. L. W <br /> CIRCLE OR WRI'PE IN P,PPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan ~ No N/A <br />4. Burning (specify exCend and location) Yes 9 N/A <br />5. Angle of slope: 3.i upstream, 3~1 do•,vnstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) Frcxn underdrain pipes: Yes ® N/A <br /> b.) At isolated points on embankment slopes: Yes ~ N/A <br /> c) At natural hillside: Yes ® N/A <br /> d) Over widespread areas Yes ® N/A <br /> e) From downstream foundation area Yes ® N/A <br /> f) "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 />'L O. Major erosion problems Yes ® N/A <br />L1. Surface movements in valley bottcm or on hillside Yes ® N/A <br />12. Erosion of toe Yes ® N/A <br />13. Water impounded against tce Yes ~ N/A <br />14. Existing embankment freeboard (feet) _~ _ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ~ N/A <br />16. Visible surtq~s or sinkholes in slurry surface Yes N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes N9 N/A <br /> b) Decant system Yes ~ N/A <br /> c) Diversion Ditches Yes o N/A <br />1B. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ~ N/A <br /> b) Decant system Yes N/A <br />19. Trash racks clear and in place ®e No N/A <br />A'. <br />q •., ~v <br />~SSbNA~~~' <br />9-,s- 9'1 <br />