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PERIODIC INSPECTION FORM <br />WATER, 5EDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~~s-s y,, .~•=~ <br />NPDES ID. No.: C11-X000213 002 <br />Facility Configuration: Sidehill Pond <br />Site Name: Impoundment q 002 <br />Mine Name: New Horizon Mine Western Fuels-Cm <br />Mine ID No.:CMLRD Permit 80008-DI <br />Owners Rep.: R, L. Wade, Mine Manager <br />1 <br />2 <br />3 <br />4 <br />5 <br />b <br />7 <br />O <br />9 <br />10 <br />!l <br />12 <br />13 <br />14 <br />LS <br />Ib <br />17 <br />18 <br />19 <br />Foundation Preparation (removal of vegetation, stumps, topsoil) <br />Lift thickness (inches): lZ ..~~L <br />Compaction according to approved plan: <br />Burning (specify extent and ]ocationl: <br />Angle of slope: 3:1 upstream, 3:1 downstream, <br />Seepage (specify location, color, and approx. volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundat:on area: <br />"Boils° beneath stream or ponded <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />+Major erosion problems: <br />Surface movements in valley bottom <br />*Erosion of toe: <br />+Water impounded against toe: <br />Existing embankment freeboard (feetl: <br />increase or decrease :n water <br />Cracks, bulging, ar erosion on upstream face:_ <br />Visible sumps or sinkholes in slurry surface:_ <br />+Clogging <br />Spillway channels and pipes: <br />Decant system: <br />Diversion ditches: <br />+Cracking or crushing of pipes <br />Spillway pipes: <br />Decant system: <br />20. Trash racks clear and in place: <br />+Major adverse changes to these items cou <br />to the Chief Engineer and Mine Manager <br />noted in these items should normally C <br />on page two of this inspection form. <br />level (feet): <br />stability and should 6e reported <br />luation. Adverse conditions <br />¢ tent, location, volume, etc.) <br />-oy ~ V ~~ <br />~~/.~ ~~tivl-.~rohi, NAL <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />ar on hillside: <br />'Ye No N/A <br />Yes No N/A <br />Yee Na N/A <br />Yes ~No~_ N/A <br />Total = 6:1 <br />Yes •No ~J~ <br />Yes ":N o? N/A <br />Yes ~o N/R <br />Yes ~'o:~ N/A <br />Yes ~'N~o~; N/A <br />Yes ;No. N/A <br />Yes ~No~ N/A <br />Yes No N/A <br />Yes 'No N/A <br />Yes 'No N/A <br />Yes ~"No N/A <br />Yes '"N o. N/A <br />Yes :?Jb N/A <br />~ _ Feet <br /> Feet <br />Yes ~No N/A <br />Yes :Nd N/R <br />Date: 12 - ~ - ~;':: <br />Date Last Inspected: °,- ~_ q S <br />Location: 47N15W31CB <br />Location:2 mi. NW of Nucla. Co. <br />water: <br />Yes 'No N/A <br />Yes :"No' N/A <br />Yes <Td'a N/A <br />Yes %No: N/A <br />Yes CI1'o N/A <br />CYlrs No N/A <br />