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PERIODIC INSPECTION BORM <br />iVATER, SEDIMENT, OR SLIIRRY INPOIINDMENTS <br />Inspectors Name; l~oesa ~ab~ Date:_ D5-o8-0~. <br />NPDES ID. No.:C~-0000213 Date Last Inspected: 03_ -ds._o(e <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 Mana4er <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1• Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <br />z• Lift thickness (inches) ~'Z ~ ~,Q <br />3• Compaction according to approved plan yBy No N/A <br />4• <br />5 Burying (specify a-xtend and location) Yea No N/A <br />. Angle of slope: 3:1 upstream, 3:1 downstream <br />6• Seepage (specify location, color, and approx. volume) <br /> a.) From underdrain pipes: Yes ~ N/A <br /> b-) At isolated points on emban)oneat slopes: Yes ~ N/A <br /> cl At natural hillside: yes ® N/A <br /> d) Over widespread areas Yes Q) N/A <br />. e) Prom downsteam foundation area Yes ® N/A <br /> f) 'Boils" beneath strain or ponded water Yes ® N/A <br />Y-- Cracks or scarps oa crest Yes N9 N/A <br />S• Cracks or scraps on slope Yes ® _ <br />N/A <br />9. Sloughing or bulging on slope yea ® N/A <br />10. Major erosion problems Yes ~~ N/A <br />11. Surface movements is valley bottom or on hillside <br />Yes ®) N/A <br />12. Erosion of tce Yes ® N/A <br />13. <br />14 Nater impounded against tce <br />E <br />i <br />i Yes ' 4~ N/A <br />. x <br />st <br />ng embankment .freeboard (feet) <br /> <br />35. <br />Cracks, bulging, or erosion on upsteam face ~ <br />yes _ <br />~ Feet <br />N/A <br />16. Visible sumps or sinkholes in slurry surface Yes ~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes No ]~ <br /> b) Decant system Yes No N/ <br /> c) Diversion Ditches Yes No N~. <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes <br />Yes <br />No <br /> b) Decant system Yes No N® <br />19. Trash racks clear and in place Yes No <br />P~µ~ \s pig <br />F:\Eng\DATA\WP\ppnd-banks\DAMFOEM.wpd <br />