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~, <br />PERIODIC INSPECTION FDRM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: /)ASS i/~~ 17~~~+ __ <br />NPDES ID. No.: CO '0000215 006 <br />Facility Configuration: Cross Valley Pond <br />Site Name: Impoundment i 006 <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No.:CMLRD Permit 80008-81 <br />Dwners Rep.: R, L. Wade, Mine Manager <br />Date:~Z-6-~f 5 <br />Date Last Inspected: ~[~ f j'S <br />Location: 47N16W36AC <br />Location:2 mi. NW of Nucla, Co, <br />CIRCLE OR NRITE IN APPROPRIATE RESPONSE <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 />L3. <br />14. <br />I5. <br />16. <br />l7. <br />IS. <br />19 <br />Foundation Preparation (removal of vegetation, stumps, topsoil) <br />Lift thickness (inches): /,~ i i/~~ <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 />At isolated points en embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation 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 />(Erasion of toe: <br />*Water impounded against toe: <br />or on hillside: <br />Existing embankment freeboard (feet): <br />increase or decrease in water <br />Cracks, bulging, or erasion on upstream face:_ <br />Visible sumps or sinkholes in slurry surface:_ <br />*Clogging <br />Spillway channels and <br />Decant system: <br />Diversion ditches: _ <br />tCracking or crushing of pipes <br />20. Trash <br />Spillway pipes:_ <br />Decant system: _ <br />racks clear and <br />in place: <br />,Y~ No N/A <br />Yes No N/A <br />:1~a No N/A <br />Yes •Nu>, N/R <br />Tota] = 6:1 <br />Y e s N o ~NZ7r <br />Yes ,'N p? N/A <br />Yes %o] N/A <br />Yes (A~1 N/R <br />Yes ~~ N/A <br />Yes ~ N/A <br />Yes ;1fD~ N/A <br />Yes N/A <br />Yes ~ N/A <br />Yes ~ N/A <br />Ye.s (N,a N/A <br />Yes ~F1b~ N/A <br />Yes •N'~ N/R <br /> Feet <br /> Feet <br />Yes ',N N/A <br />Yes •1T$ N/A <br />Yes •'Fttb N / A <br />Yes`Ao~ N/A <br />Yes ~g`~ N/A <br />Ves •~l~o- N/A <br />Yes 'Nye N/A <br />`1~~ No N/A <br />Major a t to these items could cause instahility and should 6e reported <br />to the $t~~YJ~^'~~ d Mine Manager far further evaluation. Adverse conditions <br />noted " " ese it~ts~6 ould normally 6e described (extent, location, volume, etc.) <br />on g c!~ p~f$~~h ction or m. ~,~,; 1~ 5~~~- ~ <br />I y. <br />water: <br />pipes; <br />level (feet): <br />-_.i ->_ <br />