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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~,~ ~ b~ Date: ~-~/-2~/ <br />NPDE S ID. No.:CO-0000213 007 Date Last Inspecte d:3-zq_z6o/ <br />Faci lity Configuration:Cross Valley Pond <br />Site Name: Impoundment #007 Location:47N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW o f Nu cla, CO. <br /> <br />Mine ID No.: CMLRD Permit #0006-81 <br />Owne rs Rep.: R. L. Wade Mine Manag er <br /> CIRCLE OR WRITE IN APP ROPRIATE RESPONSE <br />1. Fou nda[ion Preparation (removal of vegetation , stumps., Copsoi l) ~ No N/A <br />2. I,i ft thickness (i nche5l <br />3. Compaction according to approved plan (~ No N/A <br />4. Burning (specify extend and location) Yes No N/A <br />S. Angle of slope: ~3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.l From undecdrain pipes: Yes ~ N/A <br /> h.) At isolated points on embankment slope s: Yes A~ N/A <br /> el AC natural hi115id e: Yes ~ N/A <br /> UI Over wrdesp re dd areas Yes ~ N/A <br /> e) From down5team foundation area Yes ~ N/A <br /> f) "Boils" beneath s[ram or ponded water Yes LNOJ N/A <br />7. Crac kS or scalps On crest Yes ~ N/A <br />d. Cracks or scraps on slope Yes ~ N/A <br />9. Sloughing or bulging on slope Yes N~ N/A <br />10. Major erosion problems Yes ~ N/A <br />11. Su[face movements in valley bottom or on hillside Yes ~ N/A <br />12. Erosion of toe Yes ~Ne' N/A <br />13. Nater impounded against toe Yes ~N / N/A <br /> / <br />19. Existing embankment freeboard (feet) ~ 2 Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes t~ N/A <br />16. Visible sumps 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 <Nq N/A <br /> c) Diversion Ditches Yes ~ N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway p' Yes ® N/A <br /> b) Decant sys Yes ~ N/A <br />19. Trash racks clear {P.e~ No N/A <br />~4 nV )(J ~~5 (JhO r~1 •~'1~ <br />c:\da[a\wpdata\damform.do~ <br />G- ~~- z~ ~ <br />