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PERIODIC INSPECTION FDRM <br />HATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Names J~.t- G..cso~' <br />NPDE5 ID. No.: CO-0000213 005 <br />Facility Configuratiop: Cross Valley Pmnd <br />Site Name: Impoundment 4 005 <br />Mine Name: New Horizon Mine Western Fuels-Ca <br />Mine ID Nm.tCMLRD Permit 10005-8L <br />Owners Rep.: R. L. Wade. Mine Manamer <br />Date: 6- 3D-95/ <br />Date Last Inspected: 5-9-9y <br />Locationt 47N16W36RD <br />Locationt2 mi. NW of Nucla, Co. <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps, topsail) es No N/A <br />2. Lift thickness (inches): )2 :-~(..~ es Na N/A <br />,_ 3. Compaction according tm approved plan: ® No N/A <br />4. Burning (specify extent and location): Yes No N/A <br />5. Angle of slope: 3:1 upstream, 3s1 downstream, Tota l bpi <br />b. Seepage (specify location, color, and apprmz. volume) <br /> <br />From underdrain pipes: <br />Yes <br />No ,,~~~~ <br />w~ <br /> At isolated paints on embankment slopes: Yes No N/A <br /> At natural hillside: Yes ~p~ N/A <br /> Over widespread areas: Yes ~'a) N/A <br /> From downstream fmundation area: Yes P1~a N/R <br /> "Boils" beneath stream or ponded water: Yes Qio~ N/R <br />7. Cracks or scarps on crest: Yes N/A <br />8. Cracks or scarps on slope: Yes o' N/A <br />9. Sloughing or bulging mn slope: Yes ~o_) N/A <br />10. •Major erasion problems: Yes (J~a~ N/A <br />11. Surface movements in valley bottom mr on hillside: Yes ~a> N/A <br />12. +Ermsian of tae: Yes ~o N/R <br />13. +Water impounded against toe: Yes No N/A <br />14. Existing embankment freeboard (feet): )3 ~ Feet <br />15. increase or / decrease in water level (feet): O.zS' Feet <br />16. _ <br />Cracks, bulging, or erosion on upstream face: Yes N N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes 7~) N/A <br />10. tClogging <br /> Spillway channels and pipes: Yes ~ N/A <br /> Decant system: Yes N/A <br /> Diversion ditches: Yes 1~ N/A <br />19. +Cracking or crushing of pipes <br /> Spillway pipes: Yes ~!o) N/A <br /> Decant system: es ® N1A <br />20. Trash racks clear and in places es No N/A <br />~Majmr adverse changes to these items cmuld cause inst d should be reported <br />to the Chief Engineer and Mine Manager for further ~,aQ ~SJF verse cmnditimns <br />noted in these items should normally be describe (-$k~1'~)~a'eC~,t n, volume, etc.) <br />on page two of this inspection form. "-~ v~r;~ <br /> <br />