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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: 1`pSG \~..b~C Date: 9 -Zo- o`c- <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected: ~. (~{-- O 2 <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #007 Location: 46N15W6 <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 /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br /> <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan Yr No N/A <br />4. 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 /> <br />a.) From underdrain pipea: <br />Yes ~ <br />L".Sr <br />N/A <br /> b.) At isolated points on embankment slopes: Yes Lts7q N/A <br /> c) At natural hillside: Yea ~ N/A <br /> d) Over widespread areas Yes ~ N/A <br /> e) From downsteam foundation area Yes Lyp N/A <br /> f) "Boil s'~ beneath stram or ponded water Yes ® N/A <br />7. Cracks or scarps on crest Yes ® N/A <br />8. Cracks or scraps on slope Yea ~ N/A <br />9. Sloughing or bulging on slope Yes ~ N/A <br />10. Major erosion problems Yes I~ N/A <br />11. Surface movements in valley bottom or on hillside Yes ® N/A <br />12. Erosion of toe Yes ~ N/A <br />13. Water impounded against toe Yes ~ N/A <br /> <br />14. Existing embankment freeboard (feet) ~ Feet <br />15. Cracks, bulging, or erosion on upeteam 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 N/A <br /> b) Decant system Yes Qo N/A <br /> c) Diversion Ditches Yes ^ <br />~v y N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ~ N/A <br /> b) Decant system Yes ^ <br />~y ys~ N/A <br />19. Trash Yacks clear and in place ~ No N/A <br />~!~` <br />