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<br />PERIODIC INSPECTION FORM <br />Mine ID No.: CDMG Permit #0008-81 <br />Owners Rep.: R_L. Wade. Mine Manager <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: amass C ~,~ Date• bq -•~ ~ _ C+~ <br />NPDES ID. No.:CO-0000213 005 Date Last Inspected: b5 -O$-o ~ <br />Facility Configuration:Incised Pond <br />Site Name: Impoundment #012 Location:47N16W Sec 36 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />30. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18 <br />19 <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No <br />Lift thickness (iaches) <br />~~ <br />N j <br />_ <br />, <br />Compaction according to approved plan © No <br />Earning (specify extend and location) Yea <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 embankment slopes: yea <br />c) At natural hillside: Yes <br />d) Over widespread areas Yea <br />\ <br />G <br />e1 From downsteam foundation area Yes ~ <br />f) •EOils" beneath straw or ponded water xes <br />Cracks or scarps oa crest Yes <br />Cracks or scraps on slope <br /> <br />Sloughing or bulging on slope ~ Yes <br /> <br />Major erosion problems ~ Yes R~O <br /> <br />Surface movements in valley bottom or on hillside Yea <br />yes <br />Erosion of tce <br />xes <br />~i <br />Nater impounded against tce <br />E Yes ~ No <br />xisting embanlonent freeboard (feet) '~ <br />Cracks, bulging, or erosion on upsteam face Yes ~r~, <br />Visible sumps or sinkholes in slurry surface Yes <br />Clogging <br />a) Spillway channels and pipes Yee <br />b) Decant system Yes 7~( <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />a) Spillway pipes Yea <br />b) Decant system Yes H <br />Trash racks clear and is <br /> o <br />~v.~ +-~ Dr~-y" <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 />Peet <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 /> <br />F:\Eng\DATA\WP\pond-banks\DAMFORp <br />~_ .T -.dpi' <br />