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$x¢ <br />,.JL' ~J <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENT8 <br />Inspectors Name: 1~osb G,.~oY.c, <br />NPDES ID. No.: CO-0000213 006 <br />Facility Configuration: Cross Valley Pond <br />Site Name: Impoundment t 006 <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No.:CMLRD Permit 10008-Si <br />Owners Rep.: R. L. Wade, Mine Manager <br />Date: z -I S-45 <br />Date Last Inspected: /- /7-~ <br />Location: 47NIbW36AC <br />Location:2 mi. NN mf Nucla, Co. <br />CIRCLE OR NRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps, tgpsoil) ~ No N/A <br />2. Lift thickness (inches): 12 :N,(„ Yes No N/A <br />3. Compaction according tq approved plan: ~ No N/A <br />4. Burning (specify extent and location): Yes ~ 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 ~L . <br /> At isolated points qn embankment slopes: Yes N/A <br /> At natural hillsides Yes N/A <br /> Over widespread areas: Yes N/A <br /> From downstream foundation area: Yes ~ N/A <br /> 'Boils' beneath stream ar 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 hulging on slope: Yes ® N/A <br />10. +Major erosion problems: Yes ® N/A <br />I1. Surface movements in valley bottom or on hillside: Ye,s ® N/A <br />12. *Erosion of toe: Yes ® N/A <br />13. +Water impounded against toe: Yes ~ N/A ~~rly <br />14. Existing embankment freehoard (feet): J¢s ~ Feet D~~ <br />I5. increase or decrease in water level (feet): Feet <br />16. Cracks, bulging, or erosion on upstre _ <br />am face: Yes N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes ~ N/A <br />18. tClogging <br />Spillway channels and pipes: Yes Q N/A <br />Decant system: Yes Q N/A <br />Diversion ditches: Yes ~o N/A <br />19. tCracking or crushing mf pipes <br />Spillway pipes: Yes Q N/A <br />Decant system: Yes ~ N/R <br />20. Trash racks clear and in place: es No N/A <br />Major adverse changes to these items could cause instability and should be reported <br />to the Chief Engineer and Mine Manager far further ev Adverse conditions <br />noted in these items should normally be descrihe /4 ti on, volume, etc.) <br />on page two of this inspection form. ~~,E $G~~9~ <br />~ ,.:S- q5 <br />