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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY <br />Inspectors Name: +Sa65 Cw ~~C`.q Date: 9-2Z_csp <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: (o-Z,~.c>5 <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 #0008-81 <br />Owners Rep.: R. L. Wade. Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. <br />2. <br />3. <br />9. <br />5. <br />6. <br />7. <br />B. <br />9. <br />10 <br />11 <br />12 <br />13 <br />19 <br />15 <br />16 <br />17 <br />18 <br />19 <br />Foundation Preparation (removal of ve/geta[ion, stumps., [opsoill ~ No <br />Lift thickness (inches) N /.a <br /> <br />Compaction according [o approved plan ~ No <br />Burning (specify extend and location) Yes ®o <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.l From underd rain pipes: Yes <br />b.) AC isolated points on embankment slopes: Yes <br />cl At natural hillside: Yes !$~ <br />d) Over widespread areas Yes <br />e) From downs team foundation area Yes <br />f) "Boils" beneath stram or ponded water Yes Quo <br />Cracks or scarps on crest Yes <br />Cracks or scraps on slope Yes <br />Sloughing or bulging on slope Yes <br />Major erosion problems Yes <br />Surface movements in valley bottom or on hillside Yes <br />Erosion Of tOe Yes <br />Water impounded against toe Yes ~~ <br /> ~ <br />Existing embankment freeboard (feet) y~ Z <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 No <br />c) Dive r9 ion Ditches Yes mini <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes ~,a. <br />b) Decant system Yes <br />Trash racks clear and in pla No <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 />N/A <br />N/A <br />N/A <br />Beet <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 />c:\da[a\wpdata\tlamform.tloc <br />I lac E c~ Lt]u\ \ n ~d''~uvw <br />9~Z~..cJ <br />