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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~~ G,~.lokc. Date: ~> - 1 Z- 03 <br /> <br />NPDES ID. No.:CO-0000213 009 Date Last Inspected : ~ 1-1-0~ <br />Facility Configuration:Total Encised Pond <br />Site Name: Impoundment #009 Location:47N16W36 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br /> <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE R ESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan ~ No N/A <br />4. Burning (specify extend aad location) Yes ~ N/A <br />5. Aagle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) Prom underdrain pipes: ~ Yes Q N/A . <br /> b.) At isolated points on embankment elopes: Yes No N/A <br /> c) At natural hillside: Yes ®o N/A <br /> d) Over widespread areas Yes ® N/A <br /> e) FLOm downateam foundation area Yes ® N/A <br /> f) "Boils" beneath etram or ponded water Yes ®° N/A <br />7. Cracks or scarps on crest Yes ® N/A <br />8. Cracks or scraps on elope Yes ~ N/A <br />9. Sloughing or bulging on slc_e Yes ~ N/A <br />10. Major erosion problems _ Yes ~ N/A <br />11. Surface movements in valley bottom or on hillside Yea ~ N/A <br />12. Erosion of toe Yes ~ N/A <br />13. Water impounded against toe Yes ® N/A <br />14. Existing embankment freeboard (feet) ~ _ Feet <br />15. Cracks, bulging, or erosion on upateam face Yes ~, N/A <br />16. Vie ible sumps or sinkholes in slurry surface Yes ~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ® N/A <br /> b) Decant system Yea ~ N/A <br /> c) Diversion Ditches Yes ® N/A <br />16. Cracking or crushing of pipes <br /> a) Spillway pipes Yea ~ N/A <br /> b) Decant system Yes ~ N/A <br />19. Trash racks clear and in~place Ye No N/A <br />\5 ~~`~ <br />~o~ a <br />l~-/z-°' <br />