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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~ ~ G,~ Date: ~_zf,z~/ __ <br />NPDES ID. No.:CO-0000213 008 Date Last Inspected: z9-zo/ <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #008 Location:47N15W6 <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 Prepara Lion (removal of vegetation, stumps., to psoil) l?$s" No N/A <br />2. Lift thickness linches) <br />3. Compaction acco rtling to approvetl plan Ye No N/A <br />4. Burning (specify extend and loco tionl Yes ~ N/A <br />S. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <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 />a.) From unde rd rain pipes: Yes <br />b.l At isolated points on embankment slopes: Yes to <br />cl AC natural hillside: Yes LNay <br />d) Over witlespread areas t'es C~ <br />el Flom dovnsteam (ounda[ron area '1?s N <br />f) "BOrls" beneath scram or ponded eater Yes N <br />Crac Y.s or scarps on nest Yes t~T, <br />Cracks or scraps on slope Yes (N~ <br />Sloughing or bulgrng on slope 'Yes ~N <br />Majo[ erosion problems Yes N~ <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 (feet) <br />1 <br />~ <br />Cracks, bulging, or erosion on ups[eam face Yes J~ <br />Visible sumps or sinkholes in slurry surface Yes <br />Clogging <br />a) Spillway channels and prpes Yes <br />bl Decant system Yes <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />a) Sprllway prpes Yes <br />b) Decant Yes <br />Trash racks clF Ye <br />c:\data\wpda[a\damform <br />N/A <br />N/A <br />fJ/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 />Feet <br />N/A <br />N/A <br />ly N/A <br />(~ N/A <br />N/A <br />No N/A <br />Lg N/A <br />NO N/A <br />/ L/'awl <br />