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PERIODIC <br />FORM <br />WATER, SIDINlENT, OR SLURRY II~UUI~R9TS <br />Inspectors Name: ~~,,~,,tia Date: ~Z_\4.~ <br />NPDES ID. No.:CO-0000213 004 Date Last Inspected: ~_~p_qg <br />Facility Configuration:Side Hill Pond <br />Site Name: Im~loundment #004 Location:47N16W36CB <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla CO. <br />Mine ID No.: <br />Owne rs Rep.: R. L. Wade Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, sturtq~s., topsoil) ® No N/A <br />2. Lift thickness (inches) <br />3. Cortq~action according to approved plan ~ No N/A <br />4 Burnzng (specify extend and locatzon) Yes ~ N/A <br />.,. Angle o: slope: 3~1 upstream, 3'1 donstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From underdrain pipes: Yes ~ N/A <br /> b.) At isolated points on embarilcment slopes: Yes ® N/A <br /> c) At natural hillside: Yes ® N/A <br /> d) Over widespread areas ~ Yes ~ N/A <br /> e) From downstream foundation area Yes ® N/A <br /> f) "Boils" beneath scream or ponded water Yes ® N/A <br />7. Cracks or scarps on crest Yes ® N/A <br />8. Cracks or scraps on slope Yes ® N/A <br />9. Sloughing or bulging on slope Yes ~ N/A <br />L0. Major ex osion problems Yes ® N/A <br />11. Surface movements in valley bottom or on hillside Yes ® N/A <br />12. Erosion of tce Yes ® N/A <br />13. Water irt~ounded against tee Yes ~ N/A <br />i4. Existing emban]m~ent freeboard (feet) ~ I Peet <br />15. Cracks, bulging, or erosion on upstream face Yes Cpl N/A <br />16. Visible sumps or sinkholes in slurry surface Yes ®o N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ® N/A <br /> b) Decant system Yes ~ N/A <br /> c) Diversion Ditches Yes ® N/A <br />18. Cracking or crushing of pipes <br /> ~a) Spillway pipes Yes ~ N/A <br /> b) Decant system Y <br />e <br />s ® N/A <br />19. Trash racks clear and in place s <br />~ <br />~ <br />`~ No N/A <br />C 4Cx O "t ~74"K! 1 M~ ~Ob 1'4 t+~ ~ F.~+S ~0 ti <br />,~ <br />~u ~\5 +~h.+~8- <br />f 2 - / /i-^ c1 U <br />