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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~wss G„~~ <br />NPDES ID. No.:CO-0000213 002 <br />Date : 9 ~ ~Z_ 200 \ <br />Date Last Inspected: (~_zl-Long <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #002 Location:97N15W31CB <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 APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal oC vegetation, stumps., topsoil) ~ No N/A <br />2. Lift thickness (inches) /~ <br />7. Compaction according to approved plan ~ No N/A <br />4. Burning (specify extend and location) Yes No N/A <br />5. Angle of slope: 3:1 upstream, 3'1 downstream <br />6. Seepage (specify location, color, and approx. vol umel <br />a.l From underdrain pipes: Yes No <br /> b.) At isolated points on embankment slopes: Yes Qo <br /> cl At naCU ral hillside: Yes <br /> dl Ovcr witlesp read areas Yes <br /> e) From downsteam foundation area Yes <br /> fl "Boils" beneath stram or ponded water Yes <br />7. Cracks or scarps on crest Yes <br />8. Cracks or scraps on slope Yes N~ <br />9. Sloughing or bulgrng on slope Yes <br />10. Major erosion problems Yes <br />11. Surface movements in valley bottom or on hillside Yes <br />12. Erosion of toe Yes <br />13. Water impounded against toe Yes ($8 <br />14. Existing embankment Creeboard (fee[) D <br />O ) <br />Z <br />15. Cracks, bulging, or erosion on ups[eam face Yes ~0 <br />16. Visible sumps or sinkholes in slurry surface Yes ~ <br />17. Clogging <br /> a) Spillway channels and pipes Yes <br /> b) Decant system Yes <br /> C) Diversion Di [rhes Yes <br />18. Cracking oc crushing of pipes <br /> a) Spillway pipes Yes <br /> b) Decant , <br />19. Trash racks cl< ~ <br />1~o~a 's p`~ <br />c:\data\wpdata\damform <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />® N/A <br />^®r N/A <br />YW+ N/A <br />Qo, N/A <br />® N/A <br />No N/A <br />_/- l 2~ zod \ <br />