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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~~~~ ~,b~ Date: Oq- ~ 4--O1 <br />NPDES ID. No.:CO-0000213 Date Last Inspected:0 5-o,q_o(e <br />Facility Conf~.guration: Cross Valley Pond <br />Site Name: Impoundment #007 Location:46N15W SEC 6 <br />Mine Name: New Horizon Mine Location:l mi.NW of Nucla. CO. <br />Mine ID No.: CDMG Permit #0008-81 <br />Owners Rep.; R. L. Wade Mine Manager <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10 <br />11 <br />12 <br />13 <br />14 <br />19 <br />16 <br />17 <br />18 <br />19 <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Foundation Freparatioa (removal of vegetation, stumps., topsoil) ®e No <br />Lift thickness (inches) f`L „R <br />.~ <br />Compaction according to approved plan ~ No <br />Burning (specify extend and location) yes No <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: Yes <br />b.) At isolated points on embanlwent slopes: ~ yea <br />c) At natural hillside: Yes Q <br />d) Over widespread areas Yea ®o <br />e) From downsteam foundation azea Yes L~ <br />f) "Boils" beneath atram or ponded water yes <br />Cracks or scarps oa crest Yes <br />Cracks or scraps on elope yes <br />Sloughing or bulging oa slope Yes <br />Major erosion problems - Yes <br />Surface movements in valley bottom or on hillside yes <br />8rosion of Cce <br /> Yes N <br />Water i <br />mpounded against toe yes ~ <br />Existing embanlonent freeboard (feet) ~ <br /> <br />Cracks, bulging, or erosion on upsteam face <br />Yes _ <br />Visible sumps or sinkholes in slurry surface Yes <br />Clogging <br />a) - Spillway channels and pipes Yes <br />b) Decant system Yes (Ftd <br />c) Diversion Ditches Yes ~x9 <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes <br />b) Decant system Yes <br />Trash racks clear a <br />d in <br />n <br />ff <br />ff <br />~ar0 tS ~1S cJh0tp <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N(A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />F:\Eng\DATA\WP\pond-banks\DAMFOI2N <br />O° <br />