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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: Z~,,ys GJJpko. Date: (o -Z1 - Oy <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: 3 -ip-~ <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #002 Location:97N15W31CB <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla. CO. <br />Mine I D No.: CMLRD Permit #0008- 81 <br />Owners Rep.: R. L. Wade, Mine Ma nager <br />CIRCLF, OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No IJ/A <br />2. Lift thickness (inches) J11/.Q <br />3. Compaction according to approved plan Ye No PUA <br />4. Bu rnin9 (specify extend and location) 'tes No fJ/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br />a.l Erom underd rain pipes: Yes [7~ <br />7. <br />8. <br />9. <br />10 <br />11 <br />12 <br />13 <br />la <br />15 <br />16 <br />17 <br />18 <br />b.) At isolated points on embankment slopes: Yes ~expG <br />c) At natural hillside: Yes ®o <br />d) Over widespread areas Yes ~i, <br />e) From downsteam foundation area Yes <br />fl "Boils" beneath stram or ponded water Yes <br />Cracks or scarps on crest Yes <br />Cracks or scraps on slope Yes ~. <br />Sloughing or bulging on slope 'fes <br />Major erosion problems Yes ®. <br />Surface movements in valley bottom or on hillside Yes tJ <br />Erosion of toe Yes <br />Water impounded against toe 't es ! ~o <br /> 1 <br />E r.i sting embankment freeboard (fee[) <br />Cracks, bulging, or erosion on upsteam face Yes is <br />visible sumos or sinkholes in slurry surface Yes <br />Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant sys [em Yes <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes <br />b) Decant system Yes <br />19. Trash racks clear and in place <br />1~0., d. ~ s D~~ <br />c: \data\wpdata\damform.doc <br />N/A <br />N/A <br />N/A <br />N/A <br />IJ/p <br />N/A <br />IJ/A <br />N/A <br />N/A <br />^/A <br />N/A <br />N/A <br />N /.A <br />Feet <br />N/A <br />N/A <br />N N/A <br />® IJ/A <br />N/A <br />/~/'~ IJ/P <br />t,py N/A <br />No N/A <br />~- ~1 <br />