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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:~Q~, ~b\c,y Date: 3-ZQ-iml <br />NPDE S ID. No.:CO-0000213 008 Date La st Inspecte d: ~Z,_-Z.1_Zc~p <br />Faci lity Configuration:Cross Valley Pond <br />Site Name: Impoundment #008 Locatio n:97N15W6 <br />Mine Name:_New Horizon Mine Locatio n:2 mi.NW o f Nucl a. CO. <br /> <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owne rs Rep.: R. L. Wade. Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan ~ No N/A <br />9. Burning (specify extend and location) Yes Np N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From underd rain pipes: Yes ® N/A <br /> b.) At isolated points on embankment slopes: Yes No N/A <br /> CI AC natural hillside: Yes ~~ N/A <br /> dl Over widespread a[eas Yes N~'~ N/A <br /> e) Flom downs[eam foundaCion area 'ies i~ N/A <br /> f) "Boils" beneath stram or ponded water '!es uo N/A <br />7. Cracks or sca [ps on crest Yes VN~ N/A <br />8. Cracks or scraps on slope _ Yes ~ N/A <br />9. Sloughing or bulging On Slope Yes ~ N/A <br />30. Major erosion problems Yes ~i~ N/A <br />11. Surface movements rn valley bottom or on hillside Yes ~ N/A <br />12. Erosion of toe Yes ~ N/A <br />13. water impounded against toe Yes ~ <br />1 N/A <br />14. Existing embankment freeboard (Eee[1 ~3 Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes Nip N/A <br />16. Visible sumps or sinkholes in slurry surface Yes ® N/A <br />17. Clogging <br /> a) Spillway Channels antl pipes Yes Q7~ N/A <br /> b) Decant system Yes N <br />~ <br />oj N/A <br /> C) Dive[siOn Ditches Yes ^ <br />^ <br />~PIY N/A <br />18. Cracking or crushing of pipes <br /> II <br />a) Spillway pipes 5'-f'1 LL UN9E2 Cnr,S*r~ <br />vti Yes <br />tJO <br />N/A <br /> b) De can[ system 5'T~t. 1, UNDER Cp1,1gZµ4 T)µs Yes No N/A <br />19. Trash racks clear and in place 1•joT ~N 5-i,,t~LEO `(.a,- ~ Yes No N/A <br />Nv ~ ISCXnorq (_ <br />c:\data\wpdata\damform.doc <br />