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PERIODIC INSPECTION FORM <br />Y'TATER, SIDII~~NT, OR SLURRY I1dIPOUbIDMENTS <br />Inspectors Name : `1Zoss ~~,~~ Date : q- - z - R ~ <br />NPDES ID. No.:CO-0000213 001 Date Last Inspected:~~_~y -q-7 <br />Facility Configuration:C_ross Valley Pond <br />Site Name: Ispoundment #001 Location:47N16W36BC <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 />1 <br />2 <br />3 <br />9 <br />5 <br />6 <br />7. <br />8. <br />9. <br />10 <br />ll <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, sturtq~s., to psoil) es No N/A <br />Lift thickness (inches) <br />Compaction according to approved plan ~ No N/A <br />Burning (specify extend and location) Yes 'moo N/A <br />Angle of slope: ~:~ upstream, 3'1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) Fran underdrain pipes: Yes ®o N/A <br />b.) At isolated points on embankment slopes: Yes ~ N/A <br />c) At natural hillside: Yes ~ N/A <br />d) Over widespread areas Yes ~ N/A <br />e) From downstream foundation area Yes ® N/A <br />f) "Boils" beneath stream or ponded water Yes ® N/A <br />Cracks or scarps on crest Yes ® N/A <br />Cracks or scraps on slope Yes ~ N/A <br />Sloughing or bulging on slope Yes ~ N/A <br />Major erosion problems Yes ® N/A <br />Surface movements in valley bottom or on hillside Yes ® N/A <br />Erosion of tce Yes ~ N/A <br />Water irtq~ounded against tce Yes ~ ~ N/A <br />Existing embanlanent freeboard (feet) ~~ L Feet <br />Cracks, bulging, or erosion on upstream face Yes ~ N/A <br />Visible sunq~s or sinkholes in slurry surface Yes ® N/A <br />Clogging <br />a) Spillway channels and pipes Yes ~ N/A <br />b) Decant system Yes ~ N/A <br />c) Diversion Ditches Yes ~I N/A <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes ~ N/A <br />b) Decant system Yes ~ N/A <br />1Yash racks clear and in place Ye No N/A <br />~'- Z - <br />