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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR 6LURRY IMPOUNDMENT8 <br />Inspectors Name: ~~ G,..~so-~ <br />NPDES ID. No.: CO-0000213 004 <br />Facility Configuration: Sidehill Pond <br />Site Name: Impoundment ~ 004 <br />Mine Name: New Horizon Mine Western Fuels-Co <br />Mine ID No.sCMLRD Permit 40008-61 <br />Owners Rep s R. L. Wade, Mine Manager <br />Date; lo- 38-9-1 <br />Date Last Inspecteds 5-9-9y <br />Locations 47NI5W31BC <br />Locatian:2 mi. NW of Nucla, Ca. <br />CIRCLE OR NRITE IN APPROPRIATE REBPONBE <br />1. Foundation Preparation (removal of vegetation, stumps, topsoil) Ye No N/A <br />2. Lift thickness (inches): /2 ;r~~« Yes No N/A <br />3. Compaction according to approved plan: © No N/A <br />4. Burning (specify extent and location): Yes ~ N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream, Total = 6:1 <br />6. Seepage (specify location, color, and approx. volume) <br /> From underdrain pipes: Yes No <br /> At isolated points on embankment slopes: Yes C~o N/A <br /> At natural hillside: Yes C~ N/A <br /> Over widespread areas: Yes ~ N/A <br /> From downstream foundation area: Yes VC~9 N/A <br /> "Bails" beneath stream or ponded water: Yes ~p~ N/A <br />7. Cracks or scarps on crest: Yes No N/A <br />8. Cracks or scarps mn slope; Yes (goy N/A <br />9. Sloughing or bulging on slope: Yes C~:i~ N/A <br />10. +Major erosion problems: Yes cNc; N/A <br />11. Surface movements in valley bottom or on hillsides Yes CNp; N/A <br />12. *Erosion of toe: Yes (~a.% N/R <br />13. +Water impounded against tae: Yes fo N/A <br />14. Existing embankment freeboard (feet): //~~ Feet <br />I5. increase or decrease in water level (feet): - O Feet <br />16. Cracks, bulging, or erosion on upstrea m face: _ <br />Yes U!m> N/A <br />17. Visible sumps ar sinkhmles in slurry s urface: Yes Qrn~ N/A <br />38. +:Clogging <br /> Spillway channels and pipess Yes N/A <br /> Decant system: Yes ~ N/A <br /> Diversion ditches: Yes No~A! <br />19. +Cracking or crushing of pipes <br /> Spillway pipess Yes ~o~ N/A <br /> Decant systems Ves ~No~ N/A <br />20. Trash racks clear and in place: 'Ye`s No N/A <br />+Ma jor adverse changes to these items could cause ility and should he reported <br />tm the Chief Engineer and Mine Manager for fur psF+FBI 'on. gdverse condit ions <br />not ed in these items should normally be d location, volume, <br />es <br />QB.e~VJ4~fie~ etc.) <br />on page two of this inspection form. ~ <br />c~ <br />~'~ GA,_p <br />/~'/ < try---~ ..~%yJ yq <br />~A_~`._ <br />