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PERIODIC INSPECTION, FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name : , }~« ~ ~~~ Date : /, _ 3 - 0 4-' <br />NPDE S ID. No.:CO-0000213 008 Date Last Inspected: 3 -~S_o 4 <br />Faci lity Configuration:TOtal Encised Pond <br />Site Name: Impoundment #008 Location:4 6N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nuc la. CO. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE R ESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., tops oil) uS~ No N/A <br />2. Lift thickness ~(iabhee)~~ l Z / N~,G. <br />3. Cospactioa according to approved plan Y~~ No N/A <br />4. Burning (specify extend ,and location) Yee ^ <br />`~ N/A <br />5. Angle of elope: .3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From underdraia pipes: Yea ® N/A <br /> b.1 At isolated points on embanluaent slopes: Yes ® N/A <br /> c) At natural hillside: Yee ~ N/A <br /> d) over widespread areas Yes Q N/A ' <br /> e) From downeteam foundation area Yes ® N/A <br /> E) "Boils" beneath strain or ponded water Yes ~ N/A <br />7. Cracks or ecdipe'bn Crest Yee ® N/A <br />8. Cracks or scrape on elope Yee ®~ N/A <br />9. Sloughing or bulging on elope Yea ® N/A <br />10. 'Major erosion prbbledis' Yee ~ N/A <br />11. Surface movements in Valley bottom of on hillside Yee ® N/A <br />12. Erosion of toe - Yea ~ N/A <br />13. Water impounded against toe Yes (~ N/A <br />14. Existing esibasil®ent freeboard (feet) 8 Feet <br />15. Cracks, bulging,.or erosion on upateam face Yea ® N/A <br />16. Visible sumps or sinkholes in slurry surface Yes ~ Q N/A <br />17. Clogging _ _ , <br /> a) Spillway channels and pipes Yes ®• N/A <br /> b) Decant system Yes ~ N/A <br /> C) DiveY6lOn Ditches YCB ® N/A <br />10. Cracking or crushing'of pipes <br /> a) Spillway pipes Yes ~ N/A <br />' b) Decant system Yes ~ 1J/A <br />19. Trash racks clear and in place Yee No N/A <br />~p ~\3 C.hOrq e.. <br /> <br />