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PERIODIC INSPECTION FORM <br />F'1P.TEF2, SIDIMENT, OR SLURRY <br />Inspectors Name: doss 6,ubka Date: ¢-z• ct$ <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected: )~_~q,.47 <br />Facility Configuration:Cross Valley Pond <br />Site Name: ~oLndment #007 Location:47N15W6 <br />Mine Name: New Horizon Mine Location:2 mi NW of Nucla CO <br />Mine Ill No.: C[~4LRD Permit #0008-81 <br />Owners Rep .: R L P7ade Mine Manager <br />1 <br />2 <br />3 <br />9 <br />5 <br />6 <br />7. <br />8. <br />9. <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Foundation Preparation (removal of vegetation, sturt¢>s., topsoil) ~ No N/A <br />Lift thickness (inches) <br />Compaction according to approved plan <br />Burning (specify extend and location) <br />Angle of slope: ~:1 upstream, 3~1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: <br />b.) At isolated points on embankment slopes:` <br />c) At natural hillside: <br />d) Over widespread areas <br />e) Frcm dawnst ream foundation area <br />f) "Boils" beneath scream or ponded water <br />Cracks or scarps on crest <br />Cracks or scraps on slope <br />Sloughing or bulging on slope <br />Major erosion problems <br />Surface movements in valley bottom or on hillside_ <br />Erosion of tce <br />Water ie~ounded against tae <br />15ci sting embankmnt freeboard (feet) <br />Czacks, bulging, or erosion on upstream face <br />Visible sutt~s or sinkholes in slurry surface <br />Clogging <br />a) Spillway channels and pipes <br />b) Decant system <br />c) Diversion Ditches <br />Cracking or crushing of pipes <br />a) Spillway pipes <br />bl Decan[ system <br />1Yash racks clear and in place <br />~ow~ c:c.w~~~ ~.,.~.P-~ own <br />® No N/A <br />Yes of N/A <br />_ Yes ~ N/A <br />_ Yes ® N/A <br />Yes ~ N/A <br />_ Yes ® N/A <br />_ Yes ® N/A <br />_ Yes ~ N/A <br />Yes ® N/A <br />Yes ® N/A <br />Yes ~ N/A <br />Yes ® N/A <br />Yes ~ iv/A <br />Yes ® N/A <br />Yes ~ N/A <br /> Feet <br />Yes ® N/A <br />Yes ® N/A <br />Yes ® N/A <br />_ Yes ~ N/A <br />Yes ® N/A <br />Yes ~ N/A <br />Yes ® N/A <br />_ <br />Ye No N/A <br />..~~ 'r i:: f: / ~ Z <br />E1ti'IS ~r.r~ <br />~'~ Z- <br />