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<br />PERIODIC INSPfi`CTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />a ~,~oyCq Date: -Z - 30 - OTC. <br />Inspectors Name: 1~ <br />~. <br />~ <br />, <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected : q- Z• ^ ot.. <br />Facility Configuration:Cross Vallev Pond <br />Site Name: Impoundment #007 Location:4 6N15W6 <br />e <br />Mi Name: New Horizon Mine Location:2 mi.NW of Nucla. CO. <br />n <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., tops oil) Y~ No N/A <br />2. Lift thickness (inches) <br />3. COIIIpaCtlOR aCCOYding to approved plan Yg No N/A <br />4. Burning (specify extend and location) ~ Yes ~ 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: Yes N/A <br /> b.) At isolated points on embankment slopes: Yes ~ <br />o N/A <br /> c) AC natural hillside: Yes N/A <br /> d) Over widespread areas Yes ® N/A <br /> e) From downateam foundation area Yes ® N/A <br /> £) "Boils" beneath stram or ponded water Yes ® N/A <br />7. Cracks or scarps on Crest Yes ~ N/A <br />e. Cracks or scrape on elope Yes ~ N/A <br />9. Sloughing or bulging on slope Yea ~ N/A <br />10. Major~ero9ion problems Yes ® N/A <br />11. Surface movements in valley bottom or on hillside ~ Yes ® N/A <br />12. Erosion o£ toe Yee ~ N(A <br />13. Water impounded against toe Yes ~ ~~ N/A <br />la. Eziet ing embankment freeboard (feet) _,~ Feet <br />15. Cracks, bulging,. .or erosion on upsteam face Yee o N/A <br />16. Visible 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 ® NjA <br /> c) Diversion Ditches Yes ® N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ® N/A <br /> ~b) Decant system Ye9 ~ N/A <br /> - N/A <br />19. '!'rash racks clear and in <br />y .. <br />~Z 30 .. e~ ; <br />