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PERIODIC INSPECTION FORM <br />WATER, SIDII~~NT, OR SLURRY <br />Inspectors Name: 1C _~ ~u~k~, Date: g_Zo.. y'~ <br />NPDES ID. No.:CO-0000213 006 Date Last Inspected: (~Z(^ 9 6 <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #006 <br />Mine Name: New Horizon Mine <br />Location:47N16W36AC <br />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. <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, stumps., topsoil) ~. No <br />Lift thickness (inches) <br />N/A <br />Cortg>action according to approved plan ~ No N/A <br />Burning (specify extend and location) Yes Q N/A <br />Angle of slope: 3:1 upstream, ~:l downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: Yes No N/A <br />b.) At isolated points on embankment slopes: Yes ©o N/A <br />c) At natural hillside: Yes ® N/A <br />d) Over widespread areas Yes (Sd N/A <br />e) From downstream foundation area Yes N/A <br />f) "Boils" beneath scream or ponded water Yes ~ N/A <br />Cracks or scarps on crest Yes ® N/A <br />Cracks or scraps on slope Yes ® N/A <br />Sloughing or bulging on slope Yes ® N/A <br />Major erosion problems Yes ® N/A <br />Surface movements in valley bottom or on hillside Yes ® N/A <br />Erosion of toe Yes ~ N/A <br />Water impounded against tce Yes ®o N/A <br />Existing embanlanent freeboard (feet) , <br />_~_je Feet <br />Cracks, bulging, or erosion on upstream face Yes ~ N/A <br />Visible surtq~s or sinkholes in slurry surface Yes ~ N/A <br />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 />Cracking or crushing of pipes <br />a) Spillway pipes Yes ® N/A <br />b) Decant system Yes ® N/A <br />Trash racks clear and in place ~ No N/A <br />`f ~:V(S ~G 9F <br />R-.~.~'~~ B•.O <br />,qv <br />g~~ <br />