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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: .lc r"` ~^'~SO"' <br />NPDES ID. No.: GO- ooooz/3 op7 <br />Facility Configuration: /~sizeo /~o.~o <br />Site Name: Impoundment 4 007 <br />Mine Name: New Horizon Mine Western Fuels-Ca <br />Mine ID No.:CMLRD Permit 80008-81 <br />Owners Rep.: R, L. Wade. Mine Manager <br />Date: 6-30.41 <br />Date Last Inspected: 5-v-gy <br />Location: `15///5a/6 <br />Location:2 mi. NW of Nucla, Co. <br />CIRCLE OR MRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps, topsoil) Ye No N/A <br />2. Li4t thickness (inched : :2 :M~4~s Yes Nm N/A <br />3. Compaction according to approved plan: ~ No N/A <br />4. Burning (specify extent and location): Yes ®o N/A <br />5. Angle mf slope: 3:1 upstream, 3:1 downstream, Total = 6:1 <br />6. Seepage (specify location, color, and approx. volume) <br /> Frmm underdrain pipes: Yes No N/A <br /> At isolated paints on embankment slmpes: Yes Clio A <br /> At natural hillside: Yes Q1n7 N/A <br /> Over widespread areas: Yes Wn~ N/A <br /> From downstream foundation area: Yes tloJ N/A <br /> "Boils" beneath stream mr ponded water: Yes CN_o; N/A <br />7. Cracks or scarps mn crest: Yes Glo? N/A <br />8. Cracks or scarps on slope: Yes (I~o_: N/A <br />9. Sloughing or bulging on slope: Yes 'Noy N/R <br />10. +Major erasion problems: Yes tNo~ N/A <br />11. Surface movements in valley bottom or on hillside: Yes ;N~m, N/A <br />12. +Ermsion of toe: Yes ~No N/A <br />13. +Water impounded against toe: Yes (N o <br />, N/A <br />14. Existing embankment freeboard (feet): ~ _ <br />z-- Feet <br />I5. increase or decrease in water level (feet): - O- Feet <br />16. Cracks, bulging, or erosion on upstream face: Yes Q~a~ N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes ~o~ N/A <br />38. +Clogging <br /> Spillway channels and pipes: Yes ® N/A <br /> Decant system: Yes ® N/A <br /> Diversion ditches: Yes U N/R <br />19. +Cracking or crushing of pipes <br /> Spillway pipes: Yes to N/A <br /> Decant system: Yes M~ N/R <br />20. Trash racks clear and in place: `•YJs) No N/A <br />+Ma jor adverse changes to these items co ~pQ~Ft~ ~StT~ <br />~ ility and should be re ported <br />to the Chief En sneer and Mine Mana er A,~ er <br />~ <br />9 9 tion. Rdverse condit ions <br /> <br />not ,, <br />ed in these items should nornally b ~ cri6ed /et <br />~ <br />t, location, volume, <br />etc.) <br />on ' <br />page two of this inspection form. ~, 28950 <br />~~~~v <br />~-?- 9~ <br />