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<br /> <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:~~5 ~~b~, Date: 3-Z~_ ?sv \ <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected: ~Z_-Zl_Zm-rte <br />Facility Configuration:Cross Valley Pond <br />Site Name: ~oundment #007 Location:97N15W6 <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 Preparation (removal of vegetation, stumps., topsoil) Ye <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan <br />4. Burning (specify extend and location) Yes <br />5. Angle of slope: ~3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br />No N/A <br />No N/A <br />No N/A <br /> a.) From underdrarn pipes: Yes No <br /> b.~ AC isolated poin CS on embankment slopes: Yes <br /> c) AC natural hillside: Yes Qo <br /> tll over wrtlespreatl areas Yes ~o <br /> e) From downsteam foundation area Yes <br /> f) "Boils" beneath s[ram or ponded water Yes Q <br />7. Cracks or scarps on crest Yes tL7S~' <br />B. Cracks or scraps on slope Yes NL'G~ <br />9. Sloughing or bulging on slope Yes ®° <br />10. Najoc erosion problertus Yes ~ <br />11. Surface movements in valley bottom or on hillside Yes <br />12. Erosion of toe Yes ~+ <br />13. water impounded against toa 'Yes <br />lq. Existing embankment freeboard (feet) <br />15. Cracks, bulging, or erosion on upsteam face Yes N~ <br />16. Visible sumps or sinkholes in slurry surface Yes <br />17. Clogging <br />al Spillway channels and pipes Yes <br />bl Decant system Yes <br />c) Diversion Ditches Yes <br />I8. Crackr ng or crushing of pipes <br />a) Spillwa <br />b) Decant <br />19. Trash racks clE <br />N~ ~,s~~ age <br />c:\daca\wpdata\damform <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 />No N/A <br />No N/A <br />N/A <br />No N/A <br />,3 - z9-'~\ <br />