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PERIODIC INSPECTION FORM <br />FTP,TER, SIDII~PP, OR SLURRY II~OUtID~I.'S <br />Inspectors Name: ~o_s5 ~~11~Cq Date: $• Z,~,„ q4 <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: (o-~. 96 <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #002 Location:47N15W31CB <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 <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <br />2. Lift thickness (inches) <br />3. Compaction 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.) From underdrain pipes: Yes ~ N/A <br /> b.) At isolated points on embanlanent slopes: Yes ® N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) Over widespread areas Yes ~ N/A <br /> e) Fmm downstream foundation area Yes ® N/A <br /> f) "Boils" beneath scream or ponded water Yes ® N/A <br />7. Cracks or scarps on crest Yes f~. 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 irtg>ounded against tce Yes ~ N/A <br />14, Existing embankment freeboard (feet) _ ~ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ~ N/A <br />16, Visible sumps 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 ~ 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 Q, N/A <br />19. Trash racks clear and in place ~~ No N/A <br />'pp REG~~ <br />/l';U __ __~~ <br /> <br />