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<br />PERIODIC INSPECTION FORM <br />WATER, SIDII+lF3dT, OR SLURRY Il~IPOUAIDME[~TrS <br />Inspectors Name: jZo,ss ~,b~ Date: ~Z-1 <br />NPDES ID. No.:CO-0000213 005 Date Last Inspected: ~{_lo_c~g <br />Facility Configuration:Side Hill Pond <br />Site Name: Inmoundment #005 Location:47N16W36AD <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla. CO. <br />Mine ID No.: <br />Owners Rep.: <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Fowidation Preparation (removal of vegetation, stuns., topsoil) © No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan ® No N/A <br />4. Burning (specify extend and location) Yes ® N/A <br />S. Fuigie of slope: _~ upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volwne) <br />a.) Fran underdra in pipes: Yes ~ N/A <br />b.) At isolated points on embanlanent slopes: Yes ~ N/A <br />c) At natural hillside: Yes (QiD N/A <br />d) Over widespread areas Yes ® N/A <br />e) Frcm 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 ~d N/A <br />8. Cracks or scraps on slope Yes ~ N/A <br />5. Sloughing or bulging on slope Yes Z{pl N/A <br />10. Major erosion problems Yes !~ N/A <br />11. Surface movements in valley bottom or on hillside Yes ~ N/A <br />12. Erosion of toe Yes ~ N/A <br />13. Water mounded against tce Yes , 1~ N/A <br />14. Existing embanlanent freeboard (feet)- ~ L F7 Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ~ N/A <br />16. Visible sins or sinkholes in slurry surface Yes ~ N/A <br />17. Clogging <br />a) Spillway channels and pipes Yes ® N/A <br />bl Decant system Yes ® N/A <br />c) Diversion Ditches Yes ~ N/A <br />18. Cracking or civshing of pipes <br />a) Spillway pipes Yes ® N/A <br />bi Decant system Y/es~ ~ N/A <br />19. Trash racks c`lea'r, and in place '1 (ya5 No N/A <br />l Nc~c_! O~t ~q~ ~h b~C10Nt~ ~SS 'W C. r1 ~-' O~HFr'/S. <br />IVJ ~~SC~orVC .:J d'••O <br />V <br />FSSfCr~a~~c . <br />~L'~ ~"~~ <br />