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PERIODIC INSPECTION FORM <br />WATER, SEDIMENTS OR SLURRY IMPOUNDMENTS <br />Inspectors Names d~'°'` GwrsOw <br />NPDES ID. No.s CO-0000213 006 <br />Facility Configurations Cross Valley Pond <br />Site Name: Impoundment # 006 <br />Mine Names New Horizon Mine Western fuels-Co <br />Mine ID No.:CMLRD Permit #0008-81 <br />Owners Reps R. L. Wade, Mine Manager <br />Date: (0-30-4~ <br />Date Last Inspecteds 5-9~Q`~ <br />Location: 47NIbW36AC <br />Locatimn:2 mi. NW of Nucla, Co. <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />2. Lift thickness finches): iz ~.~L~S Yes No N/A <br />3. Compaction according to approved plan: © No N/A <br />4. Burning (specify extent and tmcation): Yes ® N/A <br />5. Angle of slope; 3:1 upstream, 3:1 downstream, Total = 6:1 <br />b. Seepage (specify location, color, and approx. volume) <br /> From underdrain pipes: Yes No ~N/A <br /> At isolated points on embankment slopes: Yes ® N/A <br /> At natural hillside: Yes ®o N/A <br /> Over widespread areas: Yes to N/A <br /> From downstream foundation area: Yes ~ N/A <br /> °Boils° beneath stream or ponded water: Yes ~a> N/A <br />7. Cracks or scarps on crest: Yes (No> N/A <br />8. Cracks or scarps on slope: Yes i~p. N/A <br />9. Sloughing or bulging on slap e: Yes <:N'sj` N/A <br />10. *Major erosion problems: Yes `No~ N/A <br />11. Surface movements in valley bottom or on hillside: Yes Wo;~ N/A <br />12. *Erasion of toe: Yes ~f~g) N/A <br />13. #Water impounded against toe: Yes '"No N/A <br />14. Existing embankment freeboard (feet): '~ Feet <br />15. /increase or decrease in water level (feet): // Feet <br />16. Cracks, bulging, or erasion mn upstream face: ~ Yes N/R <br />17. Visible 5Ump5 or sinkholes in slurry surface: Yes ~ N/A <br />18. #Clmgging <br /> Spillway channels and pipes: Yes ~ N/A <br /> Decant system: Yes NCB N/R <br /> Diversimn ditches: Yes ~m N/A <br />19. tCracking ar crushing of pipes <br /> Spillway pipes: Yes ~ N/A <br /> Decant system: Yes NCo~ N/R <br />20. Trash racks clear and in place: Yes No N/A <br /> ~p AEG/S, <br />*Ma jmr adverse changes to these items cou opQ~n~YfISi~9~ <br />~ ity and should be reported <br />' <br />to the Chief Engineer and Mine Manager f o~f,~ <br />her e~s1.f~ on. Adverse c onditi ons <br />not ed in these items should normally he r~jjype <br />~te location, vo lume, etc.( <br />on ~ <br />page two of this inspection form. <br />1. Foundation Preparation (removal of vegetation, stumps, topsoil) ~ No N/A <br />~~ C7H' <br />