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PERIODIC INSPECTION FORM <br />WATER, 6EDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: 1.~ C,w%o~ <br />NPDES ID. Nm.: c 0- cXxx~2~s o07 <br />Facility Configuration: /~~•:~o >e~o <br />Site Name: Impoundment ! oo ~ <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No.:CMLRD Permit iBB6B-81 <br />Owners Rep.: R, L. Wade, Mine Manaoer <br />Date: 5~6/r`/ <br />Date Last Inspected: /-5-9'/ <br />Location: `/Sr1i5/./6 <br />Location:2 mi. NW of Nucla. Co. <br />CIRCLE OR WRITE IN APPROPRIATE RE6PON6E <br />1. Foundation Preparation (removal of vegetation, stumps, topsail) es Na N/A <br />2. Lift thickness (inches): 12.~c~cs Yes No N/A <br />3. Compaction according to approved plan: es No N/R <br />4. Burning (specify extent and location): Yes ~I~ N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream, Total = 6:1 <br />b. Seepage (specify location, color, and approx. volume) <br /> 'From underdrain pipes: Ves No <br /> 'At isolated points on embankment slopes: Yes Pf~Jo N/A <br /> 'At natural hillside: Yes ® N/A <br /> Over widespread areas: Yes ©o N!A <br /> From downstream foundation area: Yes N 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 ~ o N/A <br />I1. Surface movements in valley bottom or on hillside: Yes ~ N/R <br />12. +Erasion of toe: Yes <No'~ N/A <br />13. tWater impounded against toe: Yes No N/A <br />14. Existing embankment freeboard (feet): J2 Feet <br />15. increase or / decrease in water level (feet): / Feet <br />16. _ <br />Cracks, bulging, or erosion on upstream face: Yes N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes NnJ N/A <br />18. +Clogging <br /> Spillway channels and pipes: Yes <br />~ <br />, N/A <br /> Decant system: ~^~ <br />~ <br />Yes `rio~ N/A <br /> Diversion ditches: Yes Na N/A <br />19. Cracking or crushing of pipes <br /> Spillway pipes: Yes N N/A <br /> Decant system: Yes No] N/A <br />20. Trash racks clear and in place: es No N/A <br />Ma jor adverse changes to these items could cause instability and should be rep orted <br />to the Chief Engineer and Mine Manager for further evaluation. Adverse conditi ons <br />not ed in these items should normally be des ed (extent, location, volume, et[.) <br />on page two of this inspection farm. _op REG/Sr <br />~~ n ¢ s- q_ R~' <br />