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PERIODIC INSPECTION FORM <br />WATER, SIDII~1T, OR SLURRY II+IPOLR~dTS <br />1~ON~ <br />Inspectors Name : ~ n6S ~~~~ Date : /~//. qg <br />NPDES ID. No.:CY~-0000213 006 Date Last Inspected: ¢ ZTgp} <br />Facility Confirn~ration:Cross Valley Pond <br />Site Name: Imoounchnent #006 Location:47N16W36AC <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla CO. <br />Mine ID No.: <br />Owners Rep.: <br /> CIRCLE OR WRITE INAPPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <br />2. Lift thickness (inches) <br />3. Canpaction according to approved plan ye No N/A <br />4. Burning (specify extend and location) Yes ~ N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) Fran underdrain pipes: Yes ~ N/A <br /> b.) A[ isolated points on ertibankment slopes: Yes ~Q N/A <br /> cl At natural hillside: Yes do N/A <br /> d) Over widespread areas Yes N/A <br /> e) Fran downstream foundation area Yes ~ <br />o N/A <br /> f) "Boils" beneath scream or ponded water Yes N/A <br />7. Cracks or scarps on crest Yes ® N/A <br />B. Cracks or scraps on slope Yes ®. N/A <br />9. Sloughing or bulging on slope Yes ~ N/A <br />10. Major erosion problems Yes ® N/A <br />11. Surface movements in valley bottan or on hillside Yes ® N/A <br />12. Erosion of tce Yes ® N/A <br />13. Water mounded against tce Yes ~ ¢'lTfl~' N/A <br />14. Existing embanlanent freebcaard (feet) ~ _ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ® N/A <br />16. Visible suns or Sinkholes in slurry Surface Yes ~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ® N/A <br /> b) DecanC 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 Yes ® N/A <br />19. Trash racks clear and in place Ye No N/A <br />IS r-o'F D ~5 ~ •~~~~ <br />•' ~ <br />~n~ E~G~ <br />~. ~~' ! ~/ <br />