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PERIODIC INSPECTION FORM ' <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:~a,yS ~z,~,~~ Date: \-~-3p~oZ. <br />NPDE S ID. No.:CO-0000213 009 Date Last Inspected: q_ Z o _at, <br />Faci lity Configuration:Total Encised Pond <br />Site Name: Impoundment #009 Location:4 7N16W36 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nuc la, CO. <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 es No N/A <br />4. Burning (specify extend and location) Yes ©o N/A <br />5. Angle of slope: 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 ~ N/A <br />' c) At natural hillside: Yea ~ N/A <br /> d) Over widespread areas Yea ~ N/A <br /> e) From downsteam foundation area Yes ® N/A <br /> f) "Boils" beneath stram or ponded water Yes ® N/A <br />7. Cracks or scarps on crest Yes ~ N/A <br />8. Cracke Or Scraps On slope Yes 1~ N/A <br />9. Sloughing or bulging on slope Yes (R~o N/A <br />10. Maj of erosion problems _ Yes ~ N/A <br />11. Surface movements in valley bottom or on hillside Yes ~1b~ N/A <br />12. Eioaion of toe ~ - Yea ~ N/A <br />13. Water impounded against toe - Yes ~ ® N/A <br />1<. Existing embankment freeboard (feet) ~nT Feet <br />15. Ciacke, bulging, or erosion on upsteam face Yes ® N/A <br />16. Visible sumps oI sinkholes in slurry surface Yes ~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes i~ N/A <br /> b) Decant system Yes ~ N/A <br /> c) Diversion Ditches Yes ^ <br />^ <br />~5~+ N/A <br />la. Cracking or crushing of pipes <br />' d) Spillway pipes Yes ® N/A <br /> b) Decant system Ye <br />s ® N/A <br />19. Trash racks clear and in place ~ <br />-- <br />~ <br />C ` F No N/A <br />PO ~ D ~S- , ~¢~ <br />~, ~. <br />~ t -3 ° a- o -_- <br />