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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: /-,o,ss ~Jb k_.a, <br />NPDES ID. No.: CO-0000213 004 <br />Facility Configurations Sidehill Pond <br />Site Name+ Impoundment A 004 <br />Mine Name: New Horizon Mine Nestern Fuels-Co <br />Mine ID No.sCMLRD Permit A0B08-81 <br />Dwners Reps R, L. Node, Mine Manager <br />Date: 9-az-~7~ <br />Date Last Inspecteds 6-30-Q~ <br />Locations 47N15W31BC <br />Locatimns2 mi. NW of Nucla, Co. <br />CIRCLE OR WRITE IN APPROPRIATE REBPDNBE <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />S. <br />9. <br />10. <br />L1. <br />12. <br />13. <br />I4. <br />I5. <br />16. <br />17. <br />18. <br />19 <br />Foundation Preparation (removal of vegetation, stumps, topsoil) <br />Lift thickness (inches): /Z ,,.~~ <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 3:! upstream, 3:1 downstream, <br />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 />Cracks or scarps an 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 tae: <br />Existing embankment freeboard (feet): <br />increase or decrease in water level (feet): _ <br />Cracks, bulging, or erasion on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />+Clagging <br />Spillway channels and pipers <br />Decant system: _ <br />Diversion ditches: <br />(Cracking or crushing of <br />20. Trash <br />Spillway pipes:_ <br />Decant system: _ <br />racks clear and <br />pipes <br />in place: <br />Ye No N/A <br />Yes No N/A <br />Ye ya N/A <br />Yes N/A <br />Total = 6:1 <br />Yes No <br />Yes ® N/A <br />Yes 0 N/A <br />Yes N/A <br />Yes o N/A <br />Yes ~ N/A <br />Yes N/A <br />Yes N/R <br />Yes N/A <br />Yes N/A <br />Yes o N/A <br />Yes N N/A <br />Yes ~ N/A <br />//,S, Feet <br />~ - Feet <br />Yes N/A <br />Yes N/A <br />Yes ~4 N/A <br />Yes N~ N/A <br />Yes No /8, <br />Yes N/A <br />s ~ N/A <br />No N/A <br />tMajor adverse changes to these items could taus a6ili~(y should be reported <br />tm the Chief Engineer and Mine Manager for 4u 1 A verse conditions <br />noted in these items should nmrmally be scri (e o , volume, etc.) <br />on page two of this inspection form. ` <br />~••. ;~G~ <br />~,S ~ H /S ~((~ <br />