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PERIODIC INSPEfCTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:~~ G,lokq Date :_ ~_ q_o3 <br />NPDE S ID. No.:CO-0000213 007 Date Last Inspected: 3_~g_p~ <br />Faci lity Configuration:Cross Vallev Pond <br />Site Name: Impoundment #007 Location:4 6N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nuc la, CO. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade. Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br /> <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan _~e 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.) From underdrain pipes: Yes ~ N/A <br /> b.) At isolated points on embankment slopes: Yes ~1 N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) Over widespread areas Yea ~ N/A <br /> e) FYOm downateam foundation area Yea ~ N/A <br /> f) ^eo it s" beneath etram or ponded water Yea ~ N/A <br />7. Cracks or scarps on crest Yea ~ N/A <br />8. Cracks or scraps on elope Yes ~ N/A <br />9. Sloughing or bulging on slope Yes N~ N/A <br />10. Major erosion problems Yes ® N/A <br />11. Surface movements in valley bottom or on hillside Yee ~ N/A <br />12. Erosion of tce Yea ~ N(A <br />13. Water impounded against Coe Yea ~ N/A <br /> <br />l4. <br />Existing embankment freeboard (feet) <br />~ 1 <br />_ <br />Feet. <br />15. Cracks, bulging, or erosion on upsteam face Yes @ N/A <br />16. Via ible sumps or sinkholes in slurry surface Yes ~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yea N® N/A <br /> b) Decant eyatem Yes N/A <br /> c) Diversion Ditches Yea ~ <br />N N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yea N~ N/A <br /> b) Decant eyatem Yea ~ N/A <br />19. Trash racks clear and in place ~ No N/A <br />G-9~o~ <br />