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g <br />PERIODIC INSPECTION FORM " <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~_4s G+;~\~ Date: (~,_ 3_ p <br />NPDE S ID. No.:CO-0000213 009 Date Last Inspected: 3- IS-o4 <br />Faci lity Configuration:Total Encised Pond <br />Site Name: Impoundment #009 Location: 47N16W36 <br />Mine Name: New Horizon Mine Location: 2 mi.NW of Nucla, CO. <br />Mine ID No.: CMLRD Permit ##0008-B1 <br />Owners Rep.: R. L. Wade, Mine Manager <br /> CIRCLE OR WRITE IN i.PPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetat <br />i++on, stumps., topsoil) Y~. No N/A <br />2. // <br />Lift thickness (inches) J Z ) N~L~ <br />3. Compaction according to approved plan ~ No N/A <br />4. Buining (specify extend and location) Yea ~ 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 underdrain pipes: Yes Iq N/A <br /> b.) At isolated Pointe on embankment elopea:~ Yes (~ N/A <br /> o) At natural hillside: Yea ~ N/A~ <br /> d) Over widespread areas Yes ~p N/A <br /> e) From downsteam foundation area Yes ~ N/A <br /> f) "DOils" beneath stram or ponded water Yes ~ N/A <br />7. CYacke or scarps on crest Yes ®° N/A <br />e. Cracks or scrape on elope Yes @ N/A <br />9. Sloughing or bulging an elope Yea ~ <br />`'Y N/A <br />10. F1aj Or er0810n problems _ Yes ~ N/A <br />11. Surface movements in valley bottom or on hillside Yes ~~'o- N/A <br />12. Erosion of toe Yes ® N/A <br />13. Water impounded against toe Ye9 y No N/A <br />14. Existing embankment freeboard (feet) ~ Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ~. N/A <br />16. "v ieible sumps or ein]dioles in slurry surface Yes ~ <br />~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ND N/A <br /> b) Decant ayetem Yea ®. "/%+ <br /> C) Diversion Ditches Yes ~ N/:. <br />la. Cracking or crushing of pipes <br /> a) Spillway pipes Yea ® N/A <br /> b) Decant ayetem Yea ~ N/A <br />19. TYaeh racks clear and in place Yes No N/n <br />~or)D ~5 ~c~' <br />~- 3- ~-~ <br />