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PERIODIC INSPECTION FORM <br />WATER, 6EDIMENT, OR SLURRY IMPOUNDMENT6 <br />Inspectors Name: dt~ L~~~" <br />NPDE5 ID. No.: CO-0000213 082 <br />Facility Cmnfiguration: 5ideht 1 Pond <br />Site Name: Impoundment # 002 <br />Mine Names New Horizon Mine Western Fuels-Co <br />Mine ID No.:CMLRD Permit #8008-81 <br />Owners Rep.: R. L. Wade, Mine Manaoer <br />Date: 6-30-`-`/ <br />Date Last Inspected: 5-9-gy <br />Location: 47NI5W31CB <br />Location:2 mi. NW of Nucla, Co. <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br /> <br /> <br /> <br /> <br /> <br />1. Foundation Preparation (removal of vegetation, stumps, topsail) es No N/A <br />2. Lift thickness (inches): :2 .~~G ~ Yes No N/A <br />3. Compaction according to approved plan: es No N/A <br />4. Burning (specify extent and location): Yes ®o N/A <br />5. Rngle of slope: 3:1 upstream, 3:1 downstream, Total = 6:1 <br />6. Seepage (specify location, color, and approx. volume) <br />/A <br />7. <br />5. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18. <br />From underdrain pipes: <br />Rt isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />"From downstream foundation area: <br />"Boils' beneath stream or ponded water: <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />}Major erosion prohlems: <br />Surface movements in valley bottom or on hillside: <br />}Erosion of toe: <br />+Water impounded against toe: <br />Existing embankment freeboard (feet): <br />increase or decrease in water <br />Cracks, bulging, or erosion on upstream face:_ <br />Visible sumps or sinkholes in slurry surf ac e:_ <br />*Clogging <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />No <br />9 <br />level (feet): _p- <br />Yes <br />Yes <br />N/R <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 />Feet <br />Feet <br />N/A <br />N/A <br />Spillway channels and pipes: Yes ~ N/A <br />Decant system: Yes ® N/A <br />Diversimn ditches: Yes to N/A <br />19. •Cracking or crushing of pipes <br />Spillway pipes: Yes ~ID~ N/A <br />Decant system: Yes ~ N/A <br />20. Trash racks clear and in place: 'Yes No N/R <br />}Major adverse changes to these items could cause instability and should be reported <br />to the Chief Engineer and Mine Manager for further evaluatimn. Adverse conditions <br />noted in these items should normally 6e described ocation, volume, etc.) <br />on page two of this inspection form. ~p REG/Sl <br />JPQ'.~EWiS GG.~9~o <br />~Sr>>.~„ /. Dzr t c~l/. <br />F, /~ ~, ~. <br />~.. . ~, <br />`~^ - •'~~ <br />