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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~~ G,_„~~ <br />NPDES ID. No.:CO-0000213 009 <br />Date: QI_12.2001 <br />Date Last Inspected:_L-Z-1-Zook <br />Facility Configuration:Side Hill Pond <br />Site Name: I~oundment #009 Location:97N16W36CB <br />Mine Name:__New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: CMLRD Permit #0008-B1 <br />Owners Rep.: R. L. Wade. Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Fountla[ion preparation (removal of vegetation, stumps., topsoil) Ye No N/A <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 />15 <br />16 <br />17 <br />18 <br />19 <br />Lrft thickness (ruches) <br />Compaction according to approved plan ~~ No <br />Burning (specify extend and location) Yes Qg <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From undertlrain pipes: Yes <br />b.) At isolated points on embankment slopes: Yes 0l <br />c) A[ natural hillside: Yes ~Jq~/ <br />dl Over widespread areas Yes <br />el Prom downs[eam foundation area Fes l~ <br />fl "Boils" beneath scram or ponded water Yes <br />Cracks or scarps on crest Yes Q~j <br />Cracks or scca ps on slope Yes ®° <br />Sloughing or bulging on slope Yes f~ <br />Major erosion problems Yes <br />Surface movements in valley bottom or on hillside Yes [~. <br />Erosion of toe Yes Sly <br /> o <br />Water impounded against toe Yes ) t <br />Existing embankment freeboard (fee[) <br />Cracks, bulging, or erosion on upsteam face Yes <br />Visible sumps or sinkholes in slurry surface Yes <br />Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant system Yes ® <br />c) Diversion Ditches Yes ^^ <br />~tt'J <br />Cracking oc crushing of pipes <br />a) Spillway pipes Yes 61~ <br />b) Decant system Yes {~ <br />Trash racks clear and in Ye No <br />r <br />c:\da[a\wpda to \damform.doc <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/n <br />N/A <br />rl/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 />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />-/Z_Loo1 <br />