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PERIODIC INSPECTION FORM <br />FIIiTER, SIDII~NT, OR SLURRY <br />Inspectors Name: ?oss ~.1,k~ Date: q-_Z_ eta <br />NPDES ID. No.:C~-0000213 002 Date Last Inspected:Jl•f9-9 7 <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #002 Location:47N15W31CB <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla C1~. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine M <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (reiroval of vegetation, sturtq~s., topsoil) ~ No N/A <br />2. Lift thickness (inches) <br />3. Cortpactron according to approved plan ~ No N/A <br />9. Burning (specify extend and location) Yes No 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 underdra in pipes: Yes ~, N/A <br /> b.) AC isolated points on em6anlanent slopes: Yes ®c, N/A <br /> c) At natural hillside: Yes ® N/A <br /> d) Over widespread areas Yes ® N/A <br /> e) Fran downstream foundation area Yes ~ N/A <br /> f) "Boils" beneath scream or ponded water Yes ® N/A <br />7. Cracks or scarps on crest Yes ® N/A <br />8. Cracks or scraps on slope Yes ® N/A <br />9. Sloughing or bulging on slope Yes ® N/A <br />10. Major erosion problems Yes ® N/A <br />11. Surface movements in valley bottan or on hillside Yes ~ N/A <br />12. Erosion of tce Yes ~ N/A <br />13. Water irtgbunded against tce Yes ® N/A <br />19. Existing embanlamst freeboard (feet) a ~~ . Fee[ <br />15. Cracks, bulging, or erosion on upstream face Yes ~ N/A <br />16. Visible surtq~s or sinkholes in slurry surface Yes ® N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ~ N/A <br /> b) Decant system Yes ~ N/A <br /> c) Diversion Ditches Yes ® N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ~ N/A <br /> b) Decant system Yes ® N/A <br />19. Trash racks clear and in place ~fra No N/A <br />~ ~ ~~~ <br />ort ~ ~'~- <br />T~.« <br />z. 4 B <br />