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<br />PERIODIC INSPECTION FORM <br />FTP,TER, SEDII~PP, OR SLURRY II~OL' <br />Inspectors Name : ~~SS ~~bkg, Date : g .. Zd ^ q ~ <br />NPDES ID. No.:CO-0000213 001 Date Last Inspected: G_2~_g b <br />Facility Configuration:Cross Valley Pond <br />Site Name: I~oundment #001 Location:47N16W36BC <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 RESPONSE <br />1. Foundation Preparation (removal of vegetation, sturtq~s., topsoil) Ye No N/A <br />2. Lift thickness (inches) <br />3. Cortq~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) From downstream foundation area Yes Q NJA <br /> f) "Boils" beneath stream or ponded water Yes ® N/A <br />7. Cracks or scarps on crest Yes ® 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 bottom or on hillside Yes ~ N/A <br />12. Erosion of tce Yes ® N/A <br />13. Water i~ounded against toe Yes ® N/A <br />14. EScisting embankment freeboard (feet) ~Z+ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ® N/A <br />16. Visible surtq~s 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 Q N/A <br /> c) Diversion Ditches Yes ~ N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ~ N/A <br /> b) Decant system Yes ~ N/A <br />19. Trash racks clear and in place Y~ No N/A <br />g- u-9~. <br />