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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: was G.a.~ok.. Date: 3- 29. 2po <br />NPDES ID. No.:CO-0000213 005 Date Last Inspected:~Z_-L(_z~~ <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #005 Location:97N16W36AD <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla. CO. <br />Mine ID No.: CMLRD Permit #0006-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7. <br />B. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />IB <br />19 <br />CIRCLE OR WRITE IN APPROPRIATE RESPO NSE <br />Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No <br />Lift thickness (inches) <br />Compaction according to approved plan ~ No <br />Burning (specify extentl and location) Yes Q~ <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underd rain pipes: Yes <br />b.l At isolated points on embankment slopes: Yes <br />c) At natural hillsrde: Yes Q° <br />tl) Over widespread areas Yes <br />e) From downsteam foundation area Yes <br />fl "Boils" beneath scram or ponded water Yes ®o <br />Cracks or scarps on Crest Yes NUO <br />Cracks oc scraps on slope Yes 4~ <br />Sloughing or bulging on slope Yes ~a <br />Major erosion problems Yes Nl~ <br />Surface movements in valley bottom or on hillside Yes ®° <br />Erosion of toe Yes <br />Hater impounded against toe Yes ) (~~ <br />Existing embankment freeboard (feet) _ ~'i . <br />Cracks, Dinging, or erosion on ups[eam face Yes ('~N , <br />Visible sumps or sinkholes in slurry surface Yes d0 <br />Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant syscem Yes f~o7 <br />c) Diversion Di [ches Yes <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes <br />b) Decant system ~ <br />Trash racks clear anc ~ No <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 />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 />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />i <br />~~~ )5 ~~ <br />c:\data\wpdata \damforn. doc <br />3- zg _ ?.°~' ~ <br />