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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: rocs Cy„~~c,4 Date: (a _Z~_op <br />NPDES ID. No.:CO-0000213 006 Date Last Inspected: 3 -gyp-pp <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #006 Location:97N16W36AC <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: CMLRD Permit #0008-61 <br />Owners Rep.: R. L. Wade. Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIAT E RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Te IJo <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan ~ No <br />4. Burning (specify e>a end and location) Yes Jo <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br />a.) From underdr ain pipes: Yes Jo <br /> b.) AC isolated points on embanAment slopes: Yes <br /> c) At natural htllside: Yes Jo <br /> d) Over widespread areas Y'es o~ <br /> e) From downsieam foundation area 'i es Jo <br /> f) "Boils" teneath scram or ponded water Yes <br />7. Cracks or scarps on crest Yes <br />8. CracV:s or scraps on slope Yes <br />9. Sloughing or bulging on slope Yes <br />10. Major erosion problems 'fes <br />11. Surface movements in valley bottom or on hillside Yes <br />12. Erosion of toe Yes <br />13. Water impounded against toe Yes Jo <br /> <br />14. Exis ti nq embanY.ment freeboard (feet) ~ _ <br />15. Ccac ks, bulging, or erosion on upsteam face Yes ~J r <br />lE. Visible s:mps o±' sinkhel es in slurry surface Yes r]~ <br />17. Clogging <br /> a) Spillway channels and pipes Yes <br /> b) Decant system Yes <br /> ,_) Diversion Ditches Yes <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes <br /> b) Decant syst <br />19. Trash rack clear z <br />Po r, O was w 4~ <br />c: \data\wpdata \damform.doc <br />^/P. <br />IJ/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/P. <br />IJ/A <br />N/A <br />rl/A <br />r1/A <br />N/A <br />N/a <br />^/A <br />d/A <br />N/A <br />Feet <br />N/A <br />N/A <br />N/A <br />® N/A <br />Q r]/A <br />® N/A <br />~~ <br />J/A <br />1/A <br />/ ~~ i~ <br />