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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: 1~~ss G,,,bkn Date: ~_Z/_~oa I <br />NPDES ID. No.:CO-0000213 005 Date Last Inspected: 3-z9-Zao~ <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #005 Location:97N16W36AD <br />Mine Name: New Horizon Mine Locati on:2 mi.NW of Nucl a, CO. <br /> <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owne rs Rep.: R. L. Wade. Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIA TE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps. , topsoil) Ye No N/A <br />2. Lift thickness (inches) <br />3. Compaction according [o approved plan Ye N <br />o N/A <br />4. Burning (specify extend and location) Yes ~ <br />- <br />~ <br />Lnp. N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From unde[d rain pipes: Yes (y N/A <br /> b.l At isolated points on embankment slopes: Yes (Rd~ N/A <br /> c) A[ na to [al hillside: Yes '1~ N/A <br /> d) Ove[ widespread areas Yes V~ N/A <br /> el From downsteam fou ndatron area Yes N~ N/A <br /> fl "Boils" beneath stram or ponded water Yes C <br />N <br />l~ N/A <br />7. Clacks oL SCdCpS on Crest Yes ,~_ <br />~ <br />,' <br />LnY N/A <br />B. Cracks or scraps on slope Yes ~ <br />Lrvy N/A <br />9. Sloughing or bulging on slope Yes CND N/A <br />10. Major erosion problertts Yes ~ N/A <br />11. Surface movements in valley bottom oc on hillside Yes (Nq' N/A <br />12. Erosion Of toe Yes ~Hd+ N/A <br />13. Water impounded against toe Yes / ~ N/A <br />14. Existing embankment freeboard (feet) ~/ z. Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes <d N/A <br />16. Visible sumps or sinkholes in slurry surface Yes ~ N/A <br />17. Clogging <br /> al Spillway channels and pipes Yes (~C N/A <br /> b) Decant system Yes ~ N/A <br /> cl Diversion Ditches Yes ~ N/A <br />1B. Cracking or crushing of pipes <br /> al Spillwa ~ N/A <br /> bl Decant (y N/A <br />19. Trash racks ele No N/A <br />c:\data\wpdata\dam[orm <br />Z /_ Z~ 1 <br />