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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:~~ G..1ac~ Date: 3-1 S- ~ g - <br />NPDES ID. No.:CO-0000213 008 Date La st Inspecte d: -Z _~-Z ~ O~ <br />Facility Configuration:TOtal Encised Pond <br />Site Name: Impoundment #008 Locatio n:46N15W6 <br />Mine Name: New Horizon Mine Locatio n: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, stu <br />mp~., topsoil) Yes No N/A <br />2. / <br />Lift thickness (inches) ~/ Z r NNy <br />3. Compaction according to approved plan ~ No N/A <br />4. Burning (specify extend and location) Yes ~ N/A <br />5. Angle of elope: .3 :1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From underdrain pipes: Yes ~ N/A <br /> b.) At isolated points on embankment elopes: Yes ® N/A <br /> c) At natural hillside: Yea ~ N/A <br /> d) Over widespread areas Yea ~ N/A <br /> e) From downeteam foundation area Yes ~ N/A <br /> f) "Boils" beneath etram or ponded water Yes ~[ N/A <br />7. Cracks or ecaxps On Crest Yes ~ N/A <br />e. Cracks or scraps on elope Yee ~ N/A <br />9. Sloughing or bulging on elope Yea ® N/A <br />10. MaJoY erosion problems Yea ~ N/A <br />11. Surface movements in valley bottom or on hillside Yee ,c <br />.uy N/A <br />12. Erosion of toe Yes ~ N/A <br />13. Water impounded against toe Yea ~ N/A <br /> <br />14. <br />Existing embankment freeboard (feet) <br />~~ L <br />_ <br />FeeC <br />15. Cracks, bulging,.or erosion On upateam face Yea ~ N/A <br />16. Visible sumps or sinkholes 1n slurry surface Yes ~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yee ~ N/A <br /> b) Decant system Yea @ N/A <br /> c) Diversion Ditches Yee /~'ilD N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yee ® N/A <br /> b) Decant system Yee ~ N/A <br />19. Trash racks clear and in place Ye No N/A <br />No v.5 ~`~ <br />~~ <br />3-~5- o~ ..:. <br />