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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~ ~ ~.,~k.4 Date: ~ -~_ p3 <br />NPDES ID. No.:CO-0000213 008 Date Last Inspected: "3_(~_Q3 <br />Facility Configuration:Total Encised Pond <br />Site Name: Impoundment #008 Location:46N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE R ESPONSE <br />1. Foundation Preparatioa -(removal of vegetation, stumps., topsoil) Ye No N/A <br />2. Lift thickness (inches) <br />3. Compaction according [o approved plan ~ No N/A <br />4. Burning (specify extend and location) Yea ~ N/A <br />5. Angle of elope: .3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br />a.) From underdraiII pipes: Yes No N/A <br />b.) At isolated points on embankment slopes: Yes ~ N/A <br />c) At natural hillside: Yes No N/A <br />d) Over widespread areas Yes ~ N/A <br />e) FYOm downsteam foundation area Yea ®, N/A <br />f) "Boils" beneath atram or ponded water Yes @ N/A <br />7. Crdek9 Or scarps On Cre at Yea ~ N/A <br />a. Cracks or scrape oa slope Yea ~ N/A <br />9. Sloughing or bulging oa slope Yes ~ N/A <br />10. Major erosion problems - Yes ® N/A <br />il. Surface movements in valley bottom or on hillside Yee ~ N/A <br />12. Erosion of tOe Yes ~ N/A <br />13. Water impounded against toe Yes ~ N/A <br /> <br />l4. Existing embank®ent freeboard (feet) <br />7 4 <br />Feet <br />15. Cracks, bulging, or erosion on upsteam face Yee ~ N/A <br />16. Visible sumps Or sinkholes in Blurry surface Yea ® N/A <br />17. Clogging <br />a) Spillway channels dnd pipes Yes ~ N/A <br />b) Decant system Yes ~ N/A <br />C) D1VBL810II Ditches Yes ~ N/A <br />18. Cracking or Crushing of pipes <br /> <br />a) Spillway pipes <br />Yea ~ <br />~sY' <br />N/A <br />b) Decant system Yes ® N/A <br />19. Trash racks clear and in place Ye No N/A <br />( O D ~5 CMG Y ~2_ <br />/,-~-0~. <br />