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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, DR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~ui ~~csow <br />NPDES ID. No.: CO-0000213 001 <br />Facility-Cmnfiguration: Crass Valley Pmnd <br />Site Name: Impoundment i 001 <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No„ CMLRD Permit N0008-SI <br />Dwners Rep,: R, L. Wade, Mine Manager <br />Date: b-3o-9y <br />Date Last Inspected: 5-7-ey <br />Location: 47N16W36BC <br />Lacation:2_mi. NW of Nucla, Co. <br />CIRCLE OR WRITE IN APPROPRIATE RESPDNSE <br />1. Foundation Preparation (removal of vegetation, stumps, topsoil) es No N/A <br />2. Lift thickness (inches): i2 •-=~=s Yes No N/A <br />3. Compaction according to approved plan: es No N/A <br />4. Burning (specify extent and location): Yes ® N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream, Total = 6:1 <br />6. Seepage (specify location, color, and approx. volume) <br /> From underdrain pipes: Yes No /A <br /> At isolated points on embankment slopes: Yes J~o N <br /> At natural hillside: Yes ~N~ N/A <br /> Over widespread areas: Yes 2loi N/A <br /> ..From downstream foundation area: Yes Ao N/A <br /> 'Boils" beneath stream or ponded water: Yes (N o) N/A <br />7. Cracks or scarps on crest: Yes o N/A <br />8. Cracks or scarps an slope: Yes Noy N/A <br />9. Sloughing or bulging on slope: Yes o N/A <br />10. +Majar erosion problems: Yes o N1A <br />I1. Surface movements in valley bottom or on hillside: Yes Nod N/A <br />12. +Erasimn of tae: Yes G)a~ N/A <br />13. +Water impounded against toe: Yes lNo) N/A <br />14. Existing embankment freeboard (feet): /5 Feet <br />15. / increase or decrease in water level (feet): O Feet <br />Ib. _ <br />Cracks, bulging, or erosion on upstream face: Yes N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes o` N/A <br />18. +Clogging <br />Spillway channels and pipes: Yes o~ N/A <br />Decant system: Yes a NIA <br />Diversion ditches: Yes N/A <br />19. +Cracking or crushing of pipes <br />Spillway pipes: Yes No'; N/A <br />Decant system: Yes o, N/A <br />20. Trash racks clear and in place: Yes No N/A <br />+Major adverse changes to these items could taus bility and should 6e reported <br />to the Chi e4 Engineer and Mine Manager for f prR6i9 ion . Adverse conditions <br />noted in these items should normally be d ,~eldlS~'~x~ , <br />~ location, volume, etc.) <br />on page two mf this inspection form. ~ry <br />' G~.,O <br /> <br />