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PERIODIC INSPECTION FORM <br />HATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Names ~"'` Lie~O"' <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 Nestern Fuels-Co <br />Mine ID No.:CMLRD Permit 10008-B1 <br />Owners Rep.: R, L. Node, Mine Manager <br />Date: 5 ~g ~vy <br />Date Last Inspected: i-5-9 y <br />Location: 47N16N36AC <br />Lmcations2 mi. NN of Nucla, Co. <br />CIRCLE OR NRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps, topsoil) ~ Nm N/A <br />2. Lift thickness finches): Iz :~~1.<> Yes No N/A <br />3. Compaction according to approved plan: es No N/A <br />4. Burning !specify extent artd location): Yes ® N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream, Tmtal = 6:1 <br />b. Seepage ispecify location, color, and approx. volume) <br /> From underdrain pipes: Yes No <br /> Rt isolated points 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: ~ <br />Yes o N/A <br />7. Cracks qr scarps an crest: Yes o N/A <br />8. Cracks or scarps mn slope: Yes o 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 ~~ N/A <br />12. *Erosion of toe: Yes N/A <br />13. *Hater impounded against toe: Yes o N/A <br />14. Existing embankment freeboard (feet): 18' Feet <br />I5. increase or decrease in water level (feet): Feet <br />Ib. Cracks, bulging, or erosion qn upstrea _ <br />m face: Yes N/A <br />17. Visible sumps or sinkholes in slurry s urface: Yes No N/A <br />18. *Clogging <br /> Spillway channels and pipes: Yes ® N/A <br /> Decant system: Yes ~ N/A <br /> Diversion ditches: Yes m N/A <br />19. *Cracking or crushing of pipes <br /> Spillway pipes: Yes ~ N/A <br /> Decant system: Yes N/A <br />20. Trash racks clear and in place: es No N/A <br />*Ma jor adverse changes to these items cmuld cause instability and sho uld be reported <br />to the Chief Engineer and Mine Manager for further evalua ver se conditions <br />not ed in these items should normally be d escribed (e ~~e , volume, etc.) <br />on page two of this inspection form. pQ;•~,EW~S~;';F•p <br /> <br /> 28 <br /> <br />