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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~ i G„1v1(yi Date: 3 ~ 19-ZooZ <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected:~t, -14- ^ol <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #007 Location:9 7N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nuc la, CO. <br /> <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade. Mine Manag_~r <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N(A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan ~e No N/A <br />4. Burning (specify extend and location) Yes ® N/A <br />5. Angle of slope: ~3:1 Upst[eam, 3:1 downstream <br />6. Seepage (specify location, color, and appzox. volume) <br />d.) From underdrain pipes: Yes ® N/A <br />b.) At isolated points on embankment slopes: Yes ~ N!A <br />C1 At naCU rat hi 115 ide: Yes ® N/A <br />d) Over widespreatl areas Yes ~ N!A <br />e) From downsteam foundation area Yes ® N/A <br />f) "Boils" beneath scram or ponded water. Yes ® NfA <br />7. Cracks or scarps on crest Yes ® N/A <br />8. Cracks or scraps on slope Yes ~ N1A <br />9. Sloughing or bulging on slope Yes ~I NIA <br />10. Major erosion problems Yes ~ N!A <br />11. Surface movements in valley bottom or on hillside Yes ~ N/A <br />12. Erosion Of toe Yes ~ N/A <br />13. Slater impounded against toe Yes ~ N/A <br /> <br />14. Existing embankment freeboard (feet) ~_ - Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ® N1A <br />16. Visible sumps or sinkholes in slurry surface Yes ® NIA <br />17. Clogging - <br />aj Spillway channels and pipes Yes ® NIA <br />b) Decant system Yes (~ N1A <br />C) D1vei510n Ditches YeS ~ N/A <br />18. Cracking or crushing of pipes <br />a) Spillway pipes Yes Qa N/A <br />b) Decant s ~ N!A <br />19. Trash racks cli ~ No N/A <br />c:\data \wpdata \damrorm <br />3 ~ l 8^ C~^ <br />