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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: E~+'- ~ ~o^' <br />NPDES ID. No.: CO-0000213 002 <br />Facility Configuration: Sidehi Pond <br />Site Name: Impoundment # 002 <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No.:CMLRD Permit #0008-81 <br />Owners Rep s R, L. Wade, Mine Manaoer <br />Date: 5~9 ~9°1 <br />Date Last Inspected: /-5-9y <br />Location: 47N15W31CB <br />Location:2 mi. NW of Nucla, Co. <br />CIRCLE OR NRI7E IN APPROPRJA7E REBPDNSE <br />1. foundation Preparation (removal of vegetation, stumps, topsoil) ® No N/A <br />2. Lift thickness finches) : /? :~~/.es Yes No N/A <br />3. Compaction according to 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 <br /> At isolated points on embankment slopes: Yes No N/R <br /> At natural hillside: Yes N N/A <br /> Over widespread areas: Yes m N/A <br /> From downstream foundation area: Yes o N/A <br /> "Boils" beneath stream or ponded water: Yes o N/A <br />7. Cracks ar scarps on crest: Yes o N/A <br />8. Cracks or scarps on slope: Yes a N/A <br />9. Sloughing or bulging on slope: Yes o' N/A <br />10. ::Major erosion problems: Yes ~o N/A <br />11. Surface movements in valley bottom or on hillside: Yes (Nom N/A <br />12. *Erasion of toe: Yes ~o j N/A <br />13. Water impounded against toe: Yes (N <br />o~ N/A <br />14. Existing embankment freeboard (feet): ___ <br />q' Feet <br />15. increase or decrease in water level (feet): - O- Feet <br />16. _ <br />Cracks, bulging, or erosion an upstream face: Yes N/R <br />!7. Visible sumps or sinkholes in slurry surface: Yes N N/A <br />IB. +:Clogging <br />Spillway channels and pipes: Yes N/A <br />Decant system: Yes N/A <br />Diversion ditches Yes ~ N/R <br />19. +Cracking or crushing of pipes <br />Spillway pipes: Yes No) N/A <br />Decant system: Yes ~~ N/A <br />20. Trash racks clear and in place: ~s) No N/A <br />*Major adverse changes to these items could cause instability and should he reported <br />to the Chief Engineer and Mine Manager for fur valuation. Adverse conditions <br />noted in these items should normally be Oi~e~/ tent, location, volume, etc.) <br />on page two of this inspection form. PQ:•~YJIS•'•~F <br /> <br />,BASH /s DAy o <br />q <br />o~ ~~'e;~o <br /> ~ <br /> -a.;. _ S- <br />