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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: Z} ass G..~bkg Date: 9.12-Zoo k <br />NPDES ID. No.:CO-0000213 005 Date Last Inspecte d: 6- ~I-2oul <br />Facility Configuration:Side Hi ll Pond <br />Site tdame: Impoundment H005 Location:9 ~N16W36AD <br />Mine Name: New Horizon Mine Location:2 mi.NW o f Nuc la, CO. <br /> <br />Mine ID No.: CMLRD Permit X000 8-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br />CIRCLE OR WRITE I N APPROPRIATE R ESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., [opsoill ®e No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan ~ No N/A <br />9, earning (specify extend and location) Yes ®. N/A <br />5, Angle of slope: ~:1 upstream, 3:1 tlovns[ream <br />b. Seepage (specify location, color, and approx. volume) <br />a.) From undettl[ain pipes: Yes ® N/A <br />b.l A[ isoia[etl points on embankme nt slopes: Yes ®, N/A <br />c) At natural hillside: 'tes ~ N/A <br />d) Over widesp[ead areas Yes ® N/A <br />el From downsteam foundation area Yes ~ N/A <br />fl "Boils" beneath scram or ponded water Yes ® N/A <br />7. CracY.s or scarps on crest Yes 1~ N/A <br />8. Cracks oc scraps on slope Yes ~ N/A <br />9. Sloughing or bulging on slope Yes ® N/A <br />30. Hajor erosion problems Yes ® N/A <br />11. Surface movements in valley bottom or on hillside Yes ® N/A <br />12. Erosion of toe Yes ~ N/A <br />13. Water impounded against toe Yes ( ~ <br />// <br />4101 N/A <br />19. Existing embankment freeboard (feet) ~1_ ~ Feet <br />15. Cracks, bulging, or erosion on ups team face Yes ® N/A <br />16. Visible sumps or sinkholes in slurry S urface Yes ~jo N/A <br />17. Clogging <br />a7 Spillway channels and pipes Yes ® N/A <br />b) Decant sys [em Yes ® N/A <br />c) Diversion Ditches Yes ~ N/A <br />18. Cracking or crushing of pipes <br />a) Spillway pipes Yes ~ N/A <br />b) Decant system Yes ~ N/A <br />19. Trash racks clear and in place RE " ~ No N/A <br />'.. '~i~owl <br />~ F,fl <br />Q'P~rcVJIS ~ <br />+r <br />~ o ~ L1 <br />Tice... e G <br />~ <br />~; 5 m'• o <br /> U <br />O <br /> , <br />v <br />c:\daca\wpda to \damform.doc <br /> <br /> <br />~~ ~Z_ Zya 1 <br />