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Ill llllllllllllllll <br />PERIODIC INSPECTIDN FORM <br />-'-'WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />- Inspectmrs Name: ~o5-S ~uhY~-- <br />NPDES ID.-No.: CO-0000213 00t - <br />-Facility.Configurations Cross Vailey Pond- <br />' Site Name: Impoundment f 001- - <br />Mine Name: New Horizon-Mine Western-Fuels-Co <br />-Mine ID No.:CMLRD Permit-M0008-81- - <br />Owners Rep,: R, L:-Wade-, Mine Manaoer <br />_. _... <br />Date•Last Inspected: ~-~7.-~3 <br />Location: 47NibW36BC <br />Location:2 mi: NW of Nucla. Co. <br />CIRCLE OR WRITE IN APPROPRIATE RESPOH6E <br />1. Foundation Preparation (removal of vegetation, stumps, topsoil) Ye No N/A <br />2. Lift thickness Cinches)s /2 iiUc/.~ Yes No N/A <br />3'. Compaction according to approved plan: ~ No N/R <br />4. Burning (specify extent and location): Yes No, N/R <br />5. Angle of slope: 3:f upstream, 3:1 downstream, Total `- b:l <br />b. Seepage (specify location, color, and approx. volume) <br /> Frmm underdrain pipes: Yes No <br /> At isolated points on embankment slopes: Yes ~Tg~ N/A <br /> At natural hillside: Yes ~N~ N/A <br /> Over Widespread areas: Yes ~ 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 or scarps on crest: Yes o N/A <br />8. Cracks ar scarps on slope: Yes o N/A <br />9. Sloughing or bulging on sloped Yes ~ N/A <br />10. (Major erosion prohlems: Yes o N/A <br />11. Surface movements in valley bottom or on hillside: Yes N/A <br />12. +Erosion mf toe: Yes i~A N/A <br />13. +Water impounded against toee Yes ~o N/A <br />14. Existing embankment freeboard (feet): '~ Feet? ~ <br />15. increase or decrease in'-water level (feet): Feet~,,.~~, <br />16. Cracks, hulging, ar erosion on upstream face: Yes o N/A <br />17. Visihle sumps or sinkholes in slurry surface: Yes N N/A <br />18. *Clogging <br /> Spillway channels and pipes( Yes o N/A <br /> Decant system: Yes N N/A <br /> Diversion ditches: Yes N N/R <br />19. +Cracking or crushing of pipes <br /> Spillway pipes: Yes ~ N/A <br /> Decant system: Yes Na N/A <br />20. Trash racks clear and in place: Yes No N/A <br />*Majo r adverse changes to these items could cause inst nd should be rep orted <br />to th e Chief Engineer and Mine Manager for further ~~~ST d <br />c verse conditi ons <br />noted in these items should normally be describe ~~f~W~~ro` <br />6~; 'on, volume, etc.) <br />on pa ge two of this inspection form. p";~„5 A~.o ,,y <br /> <br />