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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~. ,b~_ Date: 9^ Z?-c,. <br />NPDES ID. No.:CO-0000213 008 Date Last Inspected :~,zl,~, <br />E'aci lity Configuration:Cross Valley Pond <br />Site Name: Impoundment #008 Location:97N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nuc la, CO. <br /> <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. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <br />2. Lift thickness linches) ~ Z.f~ <br />3. Compaction according to approved plan ~ No N/A <br />4. Burning (specify extend and location) Yes to N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From undeldrain pipes: Yes to N/A <br /> b.) At isolated points on embankment slopes: Yes ~ N/A <br /> C) At natural hillside: Yes ® H/A <br /> d) Over widespread areas Yes ® N/A <br /> e) Flom dOwnstedm founds Ci on area Yes ® N/A <br /> f) "Boils" beneath s[ram or po nd ed water Yes ® N/A <br />7. Cracks or scarps on crest Yes ~ N/A <br />8. Cracks or scraps on slope Yes ® N/A <br />9. Sloughing or bulging on slope 1'es ® N/A <br />10. Major erosion problems Yes N/A <br />11. Surface movements in valley bottom OC on hillside Yes ~ N/A <br />12. Erasion of toe Yes ®o N/A <br />13. Water impounded against tae Yes ~ ©o N/A <br />14. Existing embankment freeboard (feet) ~ Fee[ <br />15. Cracks, bulging, or erosion on ups[eam face Yes ~ N/A <br />16. Visible sumps or sinkholes in slurry surface Yes l~jo N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes No J~r <br /> b) Decant system Yes No <br /> cl Diversion Ditches Yes No (i+-fd) <br />18. Cracking or crushing of pipes <br /> al Spillway pipes Yes No ~~ <br /> b) Decant system Yes No <br />19. Trash racks cleat and in place Yes No N/ <br />~oyld ~S ~~~ Un ~G1~ CM s~r~/i,JN <br />c: \data\wpdata \damform.doc <br />~l -z7- -~ <br />