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PERIODIC INSPECTION FORM <br />FIP.TER, SIDIl~T, OR SLURRY II+iPOU <br />Inspectors Name: ,~ s7 C-~.,ek.~ Date: /.- c(- °, G, <br />NPDES ID. No.:CO-0000213 001 Date Last Inspected: 3-0-`; (F, <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #001 Location:47N16W36BC <br />Mine Name: New Horizon Mine Location: mi NW of Nuc~a. CO. <br />Mine ID No.: <br />Owners Rep.: <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (rema2l of vegetation, stumps., topsoil) AYe No N/A <br />2. Lift thidmess (inches) ~ 2 ~' <br />3. Cortg~action according to approved plan Ye No N/A <br />4. Burning (specify extend and location) Yes No N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. wlume) <br /> a.) Fxrm underdmin pipes: Yes o <br />~ N/A <br /> b.) At isolated points on embankment slopes: Yes d N/A <br /> c) At natural hillside: Yes ~ <br />CV• N/A <br /> d) Over widespread areas Yes ~o N/A <br /> e) From downsteam foundation area Yes ~ N/A <br /> f) "Boils" beneath strain or ponded water Yes ~IO N/A <br />7. Clacks or scarps on crest Yes ~IO N/A <br />8. Cracks or scraps on slope ~ Yes ~jo N/A <br />9. Sloughing or bulging on slope Yes ~Io N/A <br />10. Major erosion problems Yes ~ <br />Jp N/A <br />11. Surface movements in valley bottom or on hillside Yes F <br />L <br />O N/A <br />12. Erosion of tce Yes ` <br />/ <br />/ <br />ro <br />s N/A <br />13. Water impounded against tce ~ Yes '~ <br />// <br />~ ~v9' N/A <br />14. Existing embankmant freeboard (feet) ~ Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes cNCSI N/A <br />16. Visible suns or sinkholes in slurry surface Yes ,N N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ~ q N/A <br /> b) Decant system Yes NO N/A <br /> c) Diversion Ditches Yes ~N N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ~I N/A <br /> b) Decant system Yes .~ N/A <br />19. Trash rocks clear and in place ~~ No N/A <br />REG/ST <br />NIS ~'•, F9 <br />. c<'~Fo <br />"-,' ~ <br />E~v~ <br /> <br />