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PERIODIC INSPECTION FORM <br />HATER, 8EDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: </<~~ L..K w~ <br />NPDE5 ID. No.: co- oooc~2:S o07 <br />Facility Configuration: l~~-zvo ~ ro <br />Site Name: Impoundment # po ~ <br />Mine Name: New Horizon Mine Western Fuels-Ca <br />Mine ID No.:CMLRD Permit 10008-81 <br />Owners Rep.: R, L. Wade, Mine Manager <br />Date: 5~6~9`/ <br />Date Last Inspected: /-5-9~/ <br />Location: s'Srl/5/x/6 <br />Location:2 mi. NN of Nucla, Co. <br />CIRCLE OR WRITE IN APPROPRIATE REBPONBE <br />1. Foundation Preparation (removal of vegetation, stumps, topsoil) es No N/R <br />2. Lift thickness (inches) : /2..,c.,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 /A <br /> Rt isolated points on emhankment slopes: Yes ©o N/A <br /> At natural hillside: Yes ® N/A <br /> Over widespread areas: Yes o N/A <br /> from downstream foundation area: Yes N/A <br /> "Bails" beneath stream or ponded water: Yes o N/A <br />7. Cracks or scarps on crest: Yes o N/R <br />8. Cracks or scarps on slmpe: Yes o N/A <br />9. Sloughing or bulging on slope: Yes o N/R <br />10. *Major erosion prohlems: Yes o N/A <br />11. Surface movements in valley bottom or on hillside: Yes ~ N/R <br />12. *Erosion of toe: Yes ~No> N/A <br />13. *Water impounded against toe: Yes No N/A <br />14. Existing emhankment freeboard (feet): 1 2 Feet <br />I5. increase or ~ decrease in water level (feet): / Feet <br />!6. Cracks, bulging, mr erosion on upstre _ <br />am face: Yes N/A <br />!7. Visihle sumps or sinkholes in slurry surface: Yes N/A <br />10. *Clogging <br /> Spillway channels and pipes: Yes ~Nn~ N/A <br /> Decant systems Yes ® N/A <br /> Diversion ditches: Yes No 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: es1 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 for further evaluation. Adverse conditions <br />noted in these items should normally be des ed (extent, location, volume, etc.) <br />on page two of this inspection form. ~~ REG/ST <br />oQ.P.~WIS ~'• :F9 <br />n".;5~ C~ ~O /l <br /> <br />