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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Names ~s Gt;o~-.~ <br />NPDES ID. No.: CD-0000213 001 <br />Facility Configurations Cross Valley Pond <br />Site Name:' Impoundment t 001 <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No.:CMLRD Permit t0B08-81 <br />Owpers Rep.s__R, L. Wade, Mine Manager <br />Date: 2-15-~5(la`Q~-gS } <br />Date Last Inspected: /.i~_qs <br />Locations 47N16W3GBC <br />Locations2__mi. NW of Nucla, Co. <br />CIRCLE OR NRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps, topsail) ~ No N/A <br />2. Lift thickness (inches): f2-:i+cL, Yes No N/A <br />3. Compaction according to approved plan: ~e No N/A <br />4. .Burning )specify extent and location]: Yes ~p N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream, Total = 6:1 <br />6. Seepage (specify location, color, and approx. volume) <br /> From underdrain pipes: Yes No <br /> At isolated points on embankment slopes: Yes Q~ N/A <br /> At natural hillside: Yes ® N/A <br /> Over widespread areas: Yes N/A <br /> From downstream foundation area: Yes N/A <br /> `Boils" beneath stream or ponded water: Yes ® N!A <br />7. Cracks or scarps on crest: Yes ® N/A <br />8. Cracks or scarps on slope: Yes ® N/A <br />9. Sloughing or bulging on slope: Yes ® N/R <br />10. +Majgr 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 ® N/A <br />14. Existing embankment freeboard (feet): ~ _ Feet <br />15. increase ar decrease in water level (feet): _ Feet <br />16. Cracks, bulging, or erosion on upstre am face: Yes N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes N/A <br />1B. tClogging <br /> Spillway channels and pipes: Yes ~ N!A <br /> Decant system: Yes N/A <br /> Oiversian ditches: Yes t~m N/A <br />19. +Cracking or crushing of pipes <br /> Spillway pipes: Yes 4~ N/A <br /> Decant system: Yes ® N/A <br />20. Trash racks clear and in place: ® No N/A <br />+Majo r adverse changes to these items co ~0~66/ ta bility and should b e reported <br />to th e Chief Engineer and Mine Manager .F`"~'~ r <br />• <br />f~~ ' :~ nation. Adverse co nditions <br />noted ~ <br />~escrib•,t~ <br />in these items should normally ~j ent, location, vol ume, etc.) <br />on pa / <br />ge two of this inspection farm. <br />1 <br /> <br />-~ii!!J <br />x; <br />°~j1QL~o .D <br />~~ <br /> // <br />CC. p. <br />