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,;,~. <br />,. <br />PERIODIC INSPECTION FORM ?~~ <br />_ WATER, SEDIMENT, OR SLURRY IMPDUNDMENTS'S~P Q," 1qq~ <br />Inspectors Name; 1~0~5 ~vb~ <br />NPDES ID. No.: CO-0800213 001 <br />Facility.Cmnfiguration: Cross Valley Pond <br />Site Name: Impoundment { 001 <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No.:CMLRD Permit M0000-BI <br />OHners Rep.: R, L. Wade, Mine Manaoer <br />Date•Last Inspected: /_,~_q~ <br />Location: 47N16W36BC <br />Location:2 mi. NW mf Nucla• Co. <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation !removal of vegetation, stumps, topsoil) ~ No N/A <br />2. Lift thickness (inches): 1Z i~~ti Yes No N/A <br />3. Compaction according tm approved plan: g~ No N/A <br />4. Burning (specify extent and location!: Yes ~! N/A <br />5. Angle of slmpe: 3:1 upstream, 3:1 downstream, Total = 6:1 <br />6. Seepage (specify location, color, and approx. volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />Over Widespread areas: <br />From downstream foundation area: <br />'Boils° beneath stream or ponded Water: <br />7. <br />S. <br />9. <br />I0. <br />11. <br />12. <br />13. <br />14. <br />I5. <br />16. <br />17. <br />18. <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />+Major erosion problems: <br />Surface movements in valley bottom or on hillside: <br />+Erosion of toe: <br />+Water impounded against toe: <br />Existing embankment freeboard (feet): <br />increase or decrease in Hater <br />Cracks, bulging, mr erosion on upstream face:_ <br />Visible sumps or sinkholes in slurry surface:_ <br />+Clogging <br />Spill Nay channels and <br />Decant system: <br />Diversion ditches: _ <br />19. +Cracking or crushing of pipes <br />Spillway pipes:_ <br />Decant system: _ <br />20. Trash racks clear and <br />in place: <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Na <br />Yes <br />Yes o <br /> <br />N/R <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />feet <br />Feet <br />N/R <br />N/A <br />Yes ~ N/A <br />Yes N/A <br />Yes ~ N/A <br />Yes ~ N/A <br />Yes N N/A <br />No N/A <br />+Major adverse changes to these items could c ~q}~~"?'(t~ and should be reported <br />to the Chief Engineer and Mine Manager for f ~'evaltl6~•, Adverse conditions <br />noted in these items should normally be d edE~e~,y oca ~n, volume, etc.) <br />on page tNa of this inspection farm. „y ZZ Z+~" fl <br />pipes: <br />level (feet): <br />