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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: iz~•,s G,LbKg <br />NPDES ID. No.:CO-0000213 001 <br />Date: Q - IZ-Zo0 <br />Date Last Inspected: `.Z~_ ~,~ <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #001 <br />Mine Name:_New Horizon Mine <br />Mine ID No.: CMLRD Permit #0008-B1 <br />Location:47N16W36BC <br />Location:2 mi.NW of Nucla. CO <br />Owners Rep.: R. L. Wade . Mine Manager <br /> CIRCLE OR WRITE 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 />13 <br />lA <br />15 <br />16 <br />17 <br />18 <br />19 <br />Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No <br />Lift thickness (inches) <br />Compaction according to approved plan <br />Burning (specify extend and location) <br />Angle of slope: l:l upstream, 7:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underd rain pipes: <br />b.) At isolated paints on embankment slopes: <br />c) AC natural hillside: <br />dl Over widespread areas <br />e) From downsteam foundation area <br />fl "Boils" beneath stram or pontled water <br />Cracks o[ scaaps on Crest <br />Cracks or scraps on slope <br />Sloughing or bulging on slope <br />Major erosion problems <br />Surface movements in valley bottom or on hi ~~side- <br />Erosion of toe <br />Na[er impounded against toe <br />Existing embankwent freeboard (fee[) <br />Cracks, bulging, or erosion on ups team face <br />Visible sumps or sinkholes in slurry surface <br />Clogging <br />a) Spillway channels and pipes <br />b) Decant system <br />c) Diversion Ditches <br />Cracking or crushing of pipes <br />a) Spillway pipes <br />b) Decant system <br />'Crash racks clear and in pla <br />c:\data\wpdata \dam[orm.doc <br />N/A <br /> N <br />O N/A <br />Yes // <br />'' <br />~~ <br />lp~pD lU.. <br />Yes ® N/A <br />Yes IJ~ N/A <br />Yes ~ N/A <br />Yes ^ <br />~ N/A <br />Yes ~ N/A <br />Yes Q N/A <br />Yes ''~ <br />~ <br />~ N/A <br />Yes ® N/A <br />Yes (y <br />~ N/A <br />Yes ~ <br />, <br />,\ <br />VYIT N/A <br />Yes ® N/A <br />Yes ~' N/A <br />Yes ~ N/A <br />l~ <br />[~ Feet <br />Yes ~ N/A <br />Yes ®o N/A <br />Yes ~ N/A <br />YCS ® N/A <br />Yes ^ <br />MY N/A <br />Yes No <br />Yes <br />N/A <br />N/A <br />N/A <br />9-IZ_y.o ~ <br />