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" .. <br />_.;~ <br />PERIODIC INSPECTION FORM. <br />-~"HATER, SEDIMENT, OR~SLURRY IMPOUNDMENTS "': <br />Inspectors Name: ~oSS ~ub~.- <br />--NPDES ID.-No.: CO-0000213 .001 - <br />-Facility. Configurations Gross Valley Pond <br />Site Name: Impoundments 001- -- <br />Mine Name: New--Horizon Mine- Western~Fuels-Co <br />Mine ID-No.:CMLRD Permit M0000-HY "- <br />Owners Rep.: R. L:-41ade: Mine Manager <br />Date: / "3-' ~9 _ ....:. <br />Date Last Inspected: 9-~7-~93 <br />Location: 47N16W36HC <br />Location:2 mi:" NW of Nucla, Co. <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of Vegetation, stumps, topsoil) <br />2. Lift thickness }inches): /'2 i~uc~-z<, <br />3. Compaction according to approved plan: <br />4. Burning (specify extent and locatimn): <br />5. Angle of slope: 3:1 upstream, 3:1 downstream, <br />b. Seepage (specify location, color, and approx. volume) <br />r~ <br />7~ <br />H. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18. <br />Frmm underdrain pipes: <br />At isolated points on emhankment slopes: <br />At natural hill-side: <br />Over widespread areas: <br />From downstream foundation area: <br />'Bails' beneath stream or pmnded water: <br />Cracks or scarps on crest: <br />Cracks ar scarps on slope: <br />Sloughing or bulging on slope: <br />(Major erosion prahlems; <br />Surface movements in valley bottom mr mn hillside:` <br />}Erasion of toe: <br />*Water impounded against toe: <br />Existing emhankment freeboard (feet): <br />increase or decrease in-water level <br />Cracks, bulging, or erosion on upstream face: <br />Visible 511mp5 mr sinkholes in slurry surface: <br />Clogging <br />Ye No N/A <br />Yes No N/A <br />No N/A <br />Yes No , N/A <br />7ota1 = 6:1 <br />Yes No <br />Ves ~y~ N%A <br />Yes ~Ny~ N/R <br />Yes ~ N/A <br />Yes o N/A <br />Yes o N/A <br />Yes o N/A <br />Yes o N/A <br /> <br /> <br /> <br /> <br />Yes ~ N/A <br />Yes o N/A <br />Yes N/'A <br />Yes ~ N/A <br />Yes ~ N/A <br /> ~ Feet.?oJ <br /> F e e t~,y~~, <br />Yes o N/A <br />Yes N N/R <br />Spillway channels and pipes: Yes o N/A <br />Decant system: Yes N N/A <br />Diversion ditches: Yes N N/A <br />19. +Cracking mr crushing of pipes <br />Spillway pipes: Yes ~ N/A <br />Decant system: Yes No N/A <br />20. crash racks clear and in place: Yes No N/A <br />#Major adverse. changes to these items could cause lost nd should he reported <br />to the Chief Engineer and Mine Manager for further ~~~T dverse conditions <br />noted in these 'items should normally be describe ~~~W~ ~,'q~ 'on, volume, etc.1 <br />on page two of this inspection farm, p: y5 B,~;o ~~ <br />(feet):- <br />