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PERIODIC <br />FORM <br />WATER, SIDIl~TT, OR SLURRY Il~Of7I~T1'S <br />Inspectors Name:_~~~ss Gv!?td Date: G_7,_gG <br />NPDES ID. No.:C'0-0000213 006 Date Last Inspected: 3-~J-9G <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #006 Location:47N16W36AC <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: <br />Owners Rep.: <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stuffs., topsoil) es No N/A <br />2. Lift thickness (inrlies) %L ~~ <br />3. Camaction according to approved plan ® No N/A <br />4. Burning (specify extend and location) Yes ®o N/A <br />5. Angle of slope: 3:1 upstream, ~1 downstream <br />6. Seepage (specify location, color, and approx. volunel <br /> a.) From underdrein pipes: Yes 0° N/A <br /> b.) At isolated points on embanlanent slopes: Yes ~ N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) Over widespread areas Yes (~ N/A <br /> e) Fmm downsteam fowdation area Yes (N N/A <br /> f) "Boils" beneath stram or ponded water Yes N/A <br />7. Cracks or scalps on crest Yes N/A <br />8. CYacks or scraps on slope Yes (A~ N/A <br />9. Sloughing or bulging on slope Yes ® N/A <br />10. Major erosion problems Yes ~ N/A <br />11. Surface mwertients in valley bottan or on hillside Yes ~ N/A <br />12. Etnsion of tce Yes ~ N/A <br />13. Water impounded against tce Yes ~ N/A <br />14. Existing embankment freeboard (feet) ~ Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ~~ N/A <br />16. Visible surtgs or sinkholes in slurry surface Yes ® N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ® N/A <br /> b) Decant system Yes NO N/A <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 'Yes ~ N/A <br />19. Trash racks clear and in place ~ No N/A <br />t. W ~ S ~,GFgm <br />~~ o <br />~v~ <br />G~ZI.9G <br />