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<br /> <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: 2at< G~,~~a Date: ~-Z/_~,p/ <br />NPDES ID. No.:CO-0000213 001 Date Last Inspected: 9.2 9 ~OOI <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #001 Location:97N16W36BC <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 />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <br />2. <br />3. <br />9. <br />5. <br />6. <br />1, <br />B. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18 <br />19. <br />Lift thickness (inches) <br /> <br />Compaction accocdinq to approved plan ~ No <br />Burning (specify extend and location) Yes <br />Angle of slope: ~~ upstream,~l downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underd rain pipes: Yes <br />b.~ At isolated pornts on embankment slopes: Yes N <br />cl At natural hillside: 1'es No <br />d) Over widespread areas Yes No <br />el Fcom dewnsream foundacien area 'f es No <br />fl "Boils" beneath scram or ponded water Yes CJ.-- <br />CracYS or scarps on crest Yes No <br />Cracks or scraps on slope Yes ~N <br />Sloughing or bulging on slope Yes L'3 <br />Major erosion problems Yes (~~ <br />Surface movements in valley bottom or on hillside Yes <br />Erosaon of toe Yes ~N . <br />Water impounded against toe Ye <br />Existing embankment freeboard (feet) <br />Cracks, bulging, or erosion on upsteam face Yes <br />Vistble sumps or sinkholes in slurry surface Yes <br />Clogging <br /> <br />al Spillway channels and pipes <br />Yes ^ <br />wo' <br />bl Decant system Yes x~e <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />al Spillway pipes Yes <br />bl Decant system Yes F(~T <br /> <br />Trash racks clear and in pla ~ No <br />c:\data\wpdata\damform.doc <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/n <br />rl/A <br />rl/P <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 />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />`_ a /- zoo 1 <br />