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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~«~- C ~=~'~l <br />NPDE5 ID. No.: CO-0000213 004 <br />Facility Configuration: Sidehill Pmnd <br />Site Name: Impoundment # 004 <br />Mine Name: New Horizon Mine Nest ern Fuels-Co <br />Mine ID No.:CMLRD Permit #0008-01 <br />Owners Rep.: R, L. Node, Mine Manager <br />Date: 5~6~ 9`1 <br />Date Last Inspected: r 5-9y <br />Location: 47NI5N31HC <br />Locatimn:2 mi. NN of Nucla, Co. <br />CIRCLE OR NRITE IN APPRDPRIATE RESPONSE <br />1. Foundatimn Preparation (removal of vegetation, stumps, tmpsoil) ® No N/A <br />2. Lift thickness finches): /2 :~~~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. Anqle mf slope: 3:1 upstream, 3:1 downstream, Total b:l <br />6. Seepage (specify locatimn, color, and approx. volume) <br /> From underdrain pipes: Yes No <br /> At isolated paints on embankment slopes: Yes ~ 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 />0. Cracks or scarps on slope: Yes ~ N/A <br />9. Sloughing or bulging on slope: Yes Two N/A <br />10, (Major erosion problems: Yes q, N/A <br />I1. Surface movements in valley bottom or on hillside: Yes N/A <br />12. +Erosion of toe: Yes N/A <br />13. •Nater impounded against toe: Yes Na N/A <br />14. Existing embankment freeboard (feet): //, 5 Feet <br />15. increase or decrease in water level (feet): O Feet <br />16. Cracks, bulging, or erosion mn upstre _ <br />am face: Yes N N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes N N/A <br />18. (Clogging <br /> Spillway channels and pipes: Yes ~N N/A <br /> Decant system: Yes (No N/A <br /> Diversion ditches: Yes No /A <br />19. (Cracking or crushing of pipes <br /> Spillway pipes: Yes No N/R <br /> Decant system: Yes N/A <br />20. Trash racks clear and in place: es No N/R <br />*Major adverse changes to these items <br />to the Chief Engineer and Mine Manager <br />noted in these items should normally <br />on page two of this inspection form. <br />could cause instability and should be reported <br />for furth ion. Adverse conditions <br />be desc _ Bfd?,~~~, location, volume, etc.) <br /> <br />5- 9_q~ <br />