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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENT6 <br />Inspectors Name: i5oss G.,6~.-_ <br />NPDES ID. Na.: CO-0000213 004 <br />Facility Configuration: Sidehill Pond <br />Site Name: Impoundment R 004 <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No.:CMLRD Permit k0008-81 <br />Uwners Rep.: R, L. Wade, Nine Manager <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />14 <br />IS <br />16 <br />17 <br />IB <br />19 <br />20 <br />Date: 1Z -~_ri5 <br />Date Last Inspected: q- S- 5S <br />Location: 47N15W31BC <br />Location:2 mi. NW of Nucla, Co. <br />CIRCLE OR WRITE IN APPROPRIATE RE8PONSE <br />Foundation Preparation (removal of vegetation, stumps, topsail) <br />Lift thickness finches): iZ ,.~-~.. <br />Compaction according to approved plan: <br />Burning (specify extent and location): <br />Angle of slope: 3:1 upstream, 3:1 downstream, <br />Seepage (specify location, color, and approx. volume) <br />From underdrain pipes: _ <br />Rt isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas:__ <br />From downstream foundat;on <br />"Boils" beneath stream or <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 or on hillside: <br />+Eros:an of toe: <br />+Water impounded against toe: <br />Existing embankment freeboard (feet): <br />increase or decrease in water <br />Cracks, bulging, or erosion nn 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 <br />Spillway pipes:_ <br />Decant system: _ <br />Trash racks clear and <br />+Major ~s:' <br />to th "~ ~~ <br />not /~ hese <br />P ~ ~ o2PbE)J <br />'n •_ <br />in place: <br />s to these items <br />and Mine Manager <br />j hould normally <br />n a~u'~r an form. <br />~ZG_ ~s <br />- Yes• No N/A <br />Yes No N/A <br />:,yeses No N/A <br />Yes ~Na N/A <br />Tot a] = 6:1 <br />Yes No ..J~/q~~ <br />Yes Na N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/A <br />Yes No N/R <br />Yes •'No N/A <br />Yes 'No. N/A <br />Yes 'No N/A <br />Yes No. N/A <br />Yes Nb. N/A <br />Yes No. N/R <br />Yes No N/A <br />~ ? Feet <br /> Feet <br />Yes No. N/A <br />Yes "No N/A <br />Yes 'No N/A <br />Yes 'No~ N/A <br />Yes Na.. N/A <br />area: <br />ponded water: <br />pipes <br />Yes No. N/A <br />Yes No N/A <br />Yes1 No N/A <br />could cause instability and should be reported <br />for further evaluation. Adverse conditions <br />6e described (extent, location, volume, etc.) <br />level (feet): <br />