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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:'~,,.,.~ ~ ~„~ Date: 3. ~qu~ot <br />NPDES ID. No_:CO-0000213 008 Date Last Inspected:~2.-l4-0~ <br />Facility Configuration:Cross Vallev Pond <br />Site Name: Impoundment #008 Location:97N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade. Mine Manager <br />1. <br />2. <br />3. <br />9. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17, <br />18. <br />19 <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No <br />Lift thickness (inches) <br />Compaction according to approved plan Ye No <br />Burning (specify extend and location) Yes No <br />Angle of slope: 3:1 upstream, ~•1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From unde rd rain pipes: Yes <br />b.) At isolated points on embankment slopes: Yes ~. <br />c) At natu idl hillside: Yes <br />d) Over widespread areas Yes ®o <br />e) From downsteam foundation area Yes <br />f7 °BOi Ls" beneath scram or ponded water Yes <br />Cracks or scarps on crest Yes <br />Cracks or scraps on slope Yes <br />Sloughing or bulging on slope Yes Q,~ <br />Major erosion problems Yes <br />Surface movements in valley bottom or on hillside Yes <br />Erosion of toe Yes <br />Water impounded against toe Yes <br /> <br />Existing embankment freeboard (feeU ' <br />Cracks, bulging, or erosion on upsteam face Yes <br />visible sumps or sinkholes in slurry surface Yes <br />Clogging <br />aI Spillway channels and pipes Yes <br />b) Decant system Yes <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes <br />b) Decant system Yes <br />Trash racks clear and in <br />c:\dnta\wpda[a\damform.doc <br />1~oN9 ~ S p~_ <br />~O ~tSV"~+~'Y~- <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 />Fee[ <br />N/A <br />N(A <br />N/A <br />N/A <br />N/A <br />® N/A <br />No N/A <br />Na N/A <br />3-(BLOT/ <br />