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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:.lZs~.S Gr,4,Y~ Date; 3 - /5 - o ¢ <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected:~Z-/2 - 03 <br />Facility Configuration:Cross Valle y Pond <br />Site Name: Impoundment #007 Location:46N15W6 <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 Prep~raCion (removal of vegetation, stumps., topsoil) Ye No N/A <br />2. Lift thickness (inches) 1Z /A/G~ <br /> <br />3. <br />Compaction according to approve$ plan ~-~y <br />v~r~ <br />No <br />N/A <br />4. Burning (specify extend and location) Yea ~ <br />L:~+r N/A <br />5. Angle of elope: 3s1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From uaderdrain 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 downsteam foundation area Yee ® N/A <br /> f) "EOils" beneath etram or ponded water Yee @ N/A <br />7. CrBC)LB Ox scarps Ott CYeat Ye9 ~ N/A <br />8. Cracks Or scrape on elope Ye9 ~ N/A <br />9. Sloughing ox bulging on elope Yee ® N/A <br />10. Major erosion problems Yee ~ N/A <br />11. Surface movements in valley bottom or on hillside Yes cE7X~ N/A <br />12. Erosion of toe Yee . Qid N/A <br />13. Water impounded against toe Yea / ~ N/A <br />14. Existing embankment freeboard (feet) ~/I . . Feet <br />15. Cracks, bulging, or erosion on upateam face xea @ N/A <br />16. .Visible sumps or sinkholes in Blurry surface Yea ® N/A <br />17. Clogging <br /> a) Spillway dhaiiaels and pipes ~ Yee ® N/A <br /> b) Decant system ~ Yea ® N/A <br /> C) Diversion Ditches Yee ~PtT4+~ N/A <br />1&. Cracking or crushing of pipes <br /> a) Spillway pipes Yee ~ N/A <br /> b) Decant Byetem Yee N/A <br />19. Trash racks clear and in place 7 <br />~ <br />V No N/A <br /> <br /> <br />