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PERIODIC INSPECTION FORM <br />F1P,TER, SIDII~N'P, OR SLURRY <br />Inspectors Name : yZ. a ~ _ ..~,\~,~ Date : ~. ~ ~_ q~ <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: ~ L Qg <br />Facility Configuration:Side Hill Pond <br />Site Name: I~~oundment #002 Location:47N15W31CB <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. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan Q No N/A <br />4. Burning (specify extend and location) Yes Q N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. SP._epage (specify location, color, and approx. volume) <br /> a.) Fran underdrain pipes: Yes ~ N/A <br /> b.) At isolated points on embankment 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 />5. 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 ingounded against tce Yes L® N/A <br />14. Existing embanlmient freeboard (feet) ~ jL Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ® N/A <br />16. Visible sunq~s or sinkholes in slurry surface Yes ~ 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 Yes ® N/A <br />19. Trash racks clear and in place ~ No N/A <br />TO~ \.S ~f~ .. ~O ~ ~S~P~yJ` <br />