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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~~~~„~~, Date: 9 -~-0~_ <br />NPDES ID. No.:CO-0000213 008 Date Last Inspecte d: ~ - 1¢ .o'L <br />Facility Configuration:Total Encised Pond <br />Site Name: Impoundment #008 Location: 46N15W6 <br />Mine Name: New Horizon Mine Location: 2 mi.NW of Nucla, CO. <br /> <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) ~' No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan Ye No N/A <br />4. Burning (specify extend and location) Yes ® 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 underdrain pipes: Yes ® N/A <br /> b.) At isolated points on embankment slopes: Yes ~ N/A <br /> c) At natural hillside: Yee ~ N/A <br /> d) Over widespread areas Yes ~ N/A <br /> e) From downsteam foundation area Yea ® N/A <br /> f) "Boils" beneath stram or ponded water Yes ~ N/A <br />7. Cracks oY 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. Maj oY erosion problems Yes Q N/A <br />11. Surface movements in valley bottom Or on hillside Yes S~ N/A <br />12. Erosion of toe Yes ~ N/A <br />13. Water impounded against toe Yes ~ No N/A <br />14. Existing embankment freeboard (feet) ~ Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ® N/A <br />16. Visible sumps 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 l1 N/A <br />19. Trash racks Clear and in place Ye No N/A <br />/t/v ~/S~ ~9 ~ <br />v <br />~- Zo`o <br />