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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLDRRY IMPOUNDMENTS <br />Inspectors Name:~~~s G,.1-Xp Date: ~ Z -i2 _ o~ <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected:9 - /7_a~ <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #007 Location: 46N15W6 <br />Mine Name: New Horizon Mine Location: 2 mi.NW of Nucla, CO. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Povsilatioa Preparation (removal of vegetation, stumps., topsoil) ea No N/A <br />2. Lift thickness (indhas) <br />3. Compaction according' to approved plan es Ho N/A <br />4. Burning (specify extend and location) Yee Q N/A <br />5. Angle of elope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From underdrain pipes: Yea ~ N/A <br /> b.) At isolated points on embankment elopes: Yea ~ N/A <br /> c) At natural hillside: Yee ~ N/A <br /> d) Over widespread areas Yes ® N/A <br /> e) From downeteam foundation area Yes ~ N/A <br /> f) "Boils" beneath etram or ponded water Yes ® N/A <br />7. Ciacke oz' scarps On crest Yes ® N/A <br />8. CLdC)Ca Or eClape on elope Yea ~N N/A <br />9. Sloughing or~bulging on elope Yee ~ N/A <br />10. Major erosion problems Yee ® N/A <br />11. Surface movements in valley bottom or on hillside Yes 7~ N/A <br />1Z. Broeion of toe Yes NC~ N/A <br />13. Water impounded against toe Yee ® N/A <br />19. Existing embankment freeboard (feet) ~ <br />9. FceC <br />15. Cracks, bulging, or erosion on upateam face Yea ® N/A <br />16. Visible sumps or sinkholes in slurry surface Yee ~ N/A <br />17. Clogging ~ ~ - - <br /> a) Spillway channels and pipes Yea ® N/A <br /> b) Decant system ~ Yee ~ N/A <br /> c) Diversion Bitches Yea ~ N/A <br />19. Cracking or crushing of pipes <br /> a) Spillway pipes Yee ~ N/A <br /> b) Decant system Yee ® N/A <br />19. Trash racks clear and in place Ye No N/A <br />~o.,d , s d,x,~,.o~~. ~~ <br />f 2- /2-v3 <br />