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PERIODIC INSPECTION FORM <br />WATER, SIDII+~TT, OR SLURRY Il~OLR~IDMEDTTS <br />Inspectors Name: s~~ ~,.bk. Date: (,~~~-5$ <br />NPDES ID. No.:CO-0000213 001 Date Last Inspected: q~- L 4 $ <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #001 Location:47N16W36BC <br />Mine Name: New Horizon Mine Location:2 mi .NW o f Nucl a CO. <br /> <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <br />2. Lift thickness (inches) <br />3. Crnq~action according to approved plan ~, 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.) 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) Fran downstream foundation area Yes ~ N/A <br /> f) "Boils" benea[h stream or ponded water Yes ® N/A <br />7. Cracks or scarps on crest Yes Q~ N/A <br />8. 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 ing~ounded against tce Yes ~ ® N/A <br />74. Existing embanlanent freeboard (feet) ~ _ 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 /> b) Decant system Yes ® N/A <br /> c) Diversion Di[ches Yes ® N/A <br />18. Cracking or crushing o£ 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 />R <br />'~ <br />~cl E~G~ <br />~.i~~99 <br />