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<br />PERIODIC <br />FORM <br />i~,TER, SIDIMENT, OR SLURRY II~IPOUDIDMEDPTS <br />Inspectors Name: ~~~ ~,~~(Q Date: g_~.q~, <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected: (D,Z,(~ 9 ~ <br />Facility Configuration:Cross Valley Pond <br />Site Name: I~>oundment #007 Location:47N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: <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) ~ i ,Y (, <br />3. Cortg>action according to approved plan ~ No N/A <br />4. Burning (specify extend and location) Yes ®o N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. wlume) <br /> a.) Fran 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) Fran 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 ® N/A <br />8. Cracks or scraps on slope Yes e. <br />~~ <br />vyV N/A <br />9. Sloughing or bulging on slope Yes ~ N/A <br />10. Major erosion problems Yes ~ N/A <br />11. Surface ~rovements in valley bottom or on hillside Yes ~ N/A <br />12. Erosion of tce Yes ~ N/A <br />13. Water inq~ounded against tce Yes ~ N/A <br />14. Existing embanlm:ent freeboard (feet) G 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 ® N/A <br />19. Trash racks clear and in place ~ No N/A <br />i <br />E ~~ Z,.9~ <br />S' <br />