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PERIODIC <br />FORM <br />WATER, SIDIl~lr, OR SLURRY lI+lP(7C1Nl~~TrS <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10 <br />11 <br />12 <br />13 <br />19 <br />15 <br />16 <br />17 <br />18 <br />19 <br />Bps ~ N <br />Inspectors Name: ~o~s ~ `-Y~ <br />NPDES ID. No.:CO-0000213 004 <br />Date: /.z~- 9G <br />Date Last Inspected: 3-~-9L <br />Facility Configuration:Side Hill Pond <br />Site Name: impoundment #004 Location:47N16W36CB <br />Mine Name: New Horizon Mine Location: i.NW of ~ la, CO. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No <br />i <br />Lift thiclmess (inches) f Z ~ <br />Cort¢~action according to approved plan <br />Burning (specify extend and location) <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) Fran underdrain pipes: <br />b.) At isolated points on emban]anent slopes: <br />c) At natural hillside: <br />d) Over widespread areas <br />e) Fran downsteam foundation area <br />f) "Boils" beneath stram or ponded water <br />CrarJcs or scarps on crest <br />Cracks or scraps on slope <br />Sloughing or bulging on slope <br />Major erosion problems <br />Surface movements in valley 6ottan or on hillside <br />Erosion of tce <br />Water mounded against tce <br />kScisting embankment freeboard (feet) <br />Cracks, bulging, or erosion on upsteam face <br />Visible sunq~s or sinkholes in slurry surface <br />Clogging <br />a) Spillway channels and pipes <br />b) Decant system <br />c) Diversion Ditches <br />Cracking or crushing of pipes <br />a) Spillway pipes <br />b) Decant system <br />'hash racks clear and in place <br />.s ~~ <br />® No <br />Yes No <br />Yes ~~ <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes ~ <br />Yes <br />Yes ~n <br />Yes <br />Yes <br />Yes ®o <br />Yes <br />Yes <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 />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />~-! ~J hF_G~S~ <br />' ~ <br /> <br /><~~' <br />..~[~,' ~ <br />rF <br />JiSG <br /> ~` <br />.. . <br />:O --a-- <br />G_yi,~~ <br />Yes No N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes N~ N/A <br />Yes ~° N/A <br />es No N/A <br />