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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Names ~~"` G'K'O"' <br />NPDES ID. No.s CO-0800213 006 <br />Facility Configurations Cross Valley Pond <br />Site Name: Impoundment 1 006 <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No.:CMLRD Permit 10008-81 <br />Owners Rep.: R, L. Wade. Mine Hanauer <br />Date:_ 5/9/Qy <br />Date Last Inspected: i-5-9~f <br />Locations 47N16W36AC <br />Locations2 mi. NW of Nucla, Co. <br />CIRCLE OR NRITE IN APPRDPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps, topsoil! 0 No N/A <br />2. Lift thickness (inches!: Iz :~~~.~ Yes No N/A <br />3. Compaction according to approved plan: es No N/A <br />4. Burning (specify extent and location): Yes ® N/R <br />5. Angle of slope: 3:1 upstream, 3:1 downstream, Total = 6s1 <br />b. Seepage (specify location, color, and approx. volume! <br /> From underdrain pipes: Yes o <br /> At 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 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 or scarps on slope: Yes o N/A <br />9. Sloughing or bulging on slope: Yes o N/A <br />10. +Major erosion problems: Yes a N/A <br />!1. Surface movements in valley bottom or on hillside: Yes ~~ N/A <br />12. +Erosion of toe: Yes o N/A <br />13. +Water impounded against toe: Yes o" N/A <br />14. Existing embankment freeboard !feet): 1 8' Feet <br />IS. increase or decrease in water level (feet!: Feet <br />16. Cracks, bulging, or erosion on upstre _ <br />am face: Yes N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes No N/A <br />18. +Clogging <br /> Spillway channels and pipes: Yes ® N/A <br /> Decant systems Yes ~ N/A <br /> Diversion ditches: Yes o 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 Ho N/A <br />+Major adverse changes to these items could cause inztability and <br />to the Chief Engineer and Mine Manager for further evalu <br />noted in these items should normally be described (e ~~ea <br />on page two of this inspection form. pQ;•~,EW1S~' <br />_ ,v:g c <br /> <br />O. J /•'~ <br />ADS<o ~., p <br />should be reported <br />verse conditions <br />~{s, volume, etc.! <br />S q. q`-F <br />