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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNOMENTB <br />Inspectors Name: da'`"" y1~a^' <br />NPDE5 ID. No.: CO-0000213 006 <br />Facility Configuration: Cross Valley Pond <br />Site Name: Impoundment # 006 <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No.:CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br />Date: 6' 3D- 9~ <br />Date Last Inspected: S-e-gN <br />Location: 47N16W36AC <br />Location:2 mi. NW of Nucla, Co. <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps, topsoil) Ye No N/A <br />2. Lift thickness (inches): ~z -=L~= Yes No N/A <br />3. Compaction according to approved plan: ~ 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 /> <br /> <br /> <br /> <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18. <br />At natural hillside; <br />Over widespread areas: _ <br />From downstream foundation <br />"Bails" beneath stream or <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing mr bulging on slop e:_ <br />+Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />+Erasion of toe: <br />+Water impounded against toe: <br />Existing embankment freeboard (feet): <br />increase or decrease in water <br />Cracks, bulging, mr erosion on upstream face:_ <br />Visible 5Ump5 or sinkholes in slurry surface:_ <br />+Clogging <br />Yes No ~/A <br />Yes ® N%A <br />Yes ®a N/A <br />Yes Jo N/A <br />Yes ~y~ NIA <br />Yes •:~? N/A <br />Yes (Mai N/A <br />Yes i~o? N/A <br />Yes <Nn~ N/A <br />Yes 'No' N/A <br />Yes ~Na) N/A <br />Yes ~~QI N/A <br />Yes ~No' N/A <br /> 7 Feet <br /> // Feet <br />Yes N/A <br />Yes I~ N/A <br />Spillway channels and pipes: Yes ~~ H/R <br />Decant system: Yes NO N/A <br />Diversion ditches: Yes ®o N/A <br />19. +Cracking ar crushing of pipes <br />Spillway pipes: Yes ~ NIA <br />Decant system: Yes 1~ N/A <br />20. Trash racks clear and in place: Yeses No N/A <br />ap REG/S <br />+Major adverse changes to these items cou pQ~o~WIS~{~ ity and should 6e reported <br />to the Chief Engineer and Mine Manager f p~.~~her e~.~ 'on. Adverse conditions <br />noted in these items should normally be r-yJlp,~~te location, volume, etc.) <br />on page two mf this inspection form. ~ ,'L~+ <br />area• <br />ponded water: <br />level (feet): <br />~. , ~'f <br />v.~E' ,7 <br />_, n <br />