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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~c~ `j~b~, Date:~~ -• /¢ - a (A <br />NPDES ID. No.:CO-0000213 Date Last Inspected: 0 S -U g -0~ <br />Facility Configuration: Total Incised Pond - <br />Site Name: Impoundment #0014 Location:47N16W SEC 31 <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 />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <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 />15 <br />16 <br />17 <br />18 <br />19 <br />Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No <br />Lift thickness (inches) ~~Z ~1JT,~ <br />Compaction according to approved plan ea 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 underdraia pipes: Yes <br />b.l At isolated points on embanlanent slopes: Yea No <br />c) At natural hillside: Yes <br />d) Over widespread areas ~ Yes <br />e) From downsteam foundation area Yes Q <br />f) °BOils" beneath straw or ponded water Yes <br />Cracks or scarps on crest Yes <br />Cracks or scraps on slope Yes <br />Sloughing or bulging on slope Yea ro <br />Major erosion problems Yes o <br />Surface movements in valley bottom or on hillside Yes Q7y, <br />Erosion of tce Yes Q <br />Water impounded against toe Yes ~ No <br />Existing embankment freeboard (feet) <br />Cracks, bulging, or erosion on upsteam face Yes <br />Via ible sumps or sinkholes in slurry surface Y <br />s <br /> y <br />Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant system Yes <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes <br />b) Decant system Yes <br />Trash racks clear and in <br /> <br />F:\Eng\DATA\WP\pond-banks\DAMFORJ <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />NjA <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 />No ~. <br />No <br />No ~~ <br />No <br />No N/ <br />N/A <br />O <br />f" <br />