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PERIODIC INSPECTION FORM <br />WATER, SIDII~PP, OR SLURRY Il~lPOUDIDMENTS <br />Inspectors Name : ~, .~~, ~b~. Date : g- Zo .. q <br />NPDES ID. No.:CO-0000213 004 Date Last Inspected: (o•Z~- qG <br />Facility Configuration side Hill Pond <br />Site Name: Impoundment #004 <br />Mine Name: New Horizon Mine <br />Mine ID No.: CI~II12D Permit #0008-81 <br />Location:47N16W36CB <br />Location:2 mi.NW of Nucla CO. <br />Owners Rep.: R. L. Wade Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />Foundation Preparation (removal of vegetation, sturtq~s., topsoil) <br />Lift thickness (inches) <br />Compaction according to approved plan <br />Burning (specify extend and location) <br />Angle of slope: 3:1 upstream, ~~ downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: <br />b.) At isolated points on embankment slopes: <br />c) At natural hillside: <br />d) Over widespread areas <br />e) From downstream foundation area <br />f) "Boils" beneath scream or ponded water <br />Cracks or scarps on crest <br />Cracks or scraps on slope <br />Sloughing or bulging on slope <br />Major erosion problems <br />Surface movements in valley bottom or on hillside <br />Erosion of tce <br />water irtq~ounded against tce <br />Existing embankment freeboard (feet) <br />Cracks, bulging, or erosion on upstream face <br />Visible sins or sinkholes in slurry surface <br />Clogging <br />a) Spillway channels and pipes <br />b) Decant system <br />c) Diversion Ditches <br />Cracking or crushing of pipes <br />a) Spillway pipes <br />b) Decant system <br />Trash racks clear and in place <br />'- asp ~ u ~_~ <br />:-:-s <br />'Q a`G/Sr <br />.~Gwis~ :F9 <br />No <br />No <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes o <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes <br />Yes , <br />Yes <br />Yes ®J <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />Yes ~ N/A <br />Yes ~ N/A <br />Yes ® N/A <br />Yes <br />Yes <br />N/A <br />N/A <br />No N/A <br />~,~ <br />~FS310NA~E~G~ ~. ae ' 9G <br />