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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ?~,gs C~~bkF Date: 09 - Z2 ^ ~S <br />NPDES ID. No.:CO-0000213 Date Last Inspected:b6 - ~ 9-~ <br />Facility Configuration: Cross Valley Pond <br />Site Name: ImAOUndment #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 />Owne rs Rep.: R. L. Wade. Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <br />2. Lift thickness (inches) ~? / n/~~ <br />3. Compaction according to approved plan Ye No N/A <br />4. Burning (specify extend and location) Yes No N/A <br />5. 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 embankment slopes: Yes ~ o N/A <br /> c) At natural hillside: Yea ~ N/A <br /> d) Over widespread areas Yes ~ N/A <br /> e) From downsteam foundation area Yes ~ N/A <br /> f) "Boils" beneath stram or ponded water Yes ~ N/A <br />7. Cracks or scarps on crest ~ Yea Q~ N%A <br /> <br />8. - <br />Cracks or scraps on slope ~ <br />Yes <br />~ Y <br />N/A <br />9. Sloughing or bulging on slope Yes ~ N/A <br />10. Major erosion problems Yea ~ +N/A <br />il. Surface movements in valley bottom or on hillside Yes ~ ~ <br />, N/A <br />12. Erosion o£ toe Yes ~~LJpI ,~ N/A <br />13. Water impounded against toe Yes ~ N/A ` <br />14. Existing embankment freeboard (feet) ~ Feet <br />is. Cracks, bulging, or erosion on upsteam face Yes o N/A <br />16. Visible sumps or sinkholes in slurry surface Yes N N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ~ N/A <br /> b) DeC ant system Yea N/A <br /> c) Diversion Dit CheB Yes ~ <br />O N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ~ N/A <br /> b) Decant system Yes ~ N/A <br />19. Trash racks c1eaY and in place Ye No N/A <br />F:\Eng\DATA\WP\pond-banks\DAMFOBM.wpd <br />^ U <br />~~~y <br />