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PERIODIC INSPECTION FORM <br />WATER, SIDII~TT, OR SLURRY II+IPOL <br />Inspectors Name : ~~ C' ~„bk~ Date : 3- 8- <br />NPDES ID. No.:CO-0000213 001 Date Last Inspected: /Z-~-~j.5 <br />Facility Configuration: Cross Valley Pond <br />Site Name: It~(poundment #001 Location:47N16W36BC <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla. CO. <br />Mine ID No.: <br />Owners Rep.: <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stungs., topsoil) Ye No N/A <br />2. Lift thickness (inches) ~Z~ <br />3. Compaction according to approved plan es 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 No 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 No N/A <br /> e) Frntn downsteam foundation area Yes ®o N/A <br /> f) "Boils" beneath stram or ponded water Yes No N/A <br />7. Cracks or scarps on crest Yes ® N/A <br />8. Cracks or scraps on slope Yes Q N/A <br />9. Sloughing or bulging on slope Yes No N/A <br />10. Major erosion problems Yes Qo N/A <br />11. Surface movements in valley bottan or on hillside Yes Qo N/A <br />12. Erosion of tce Yes Nom N/A <br />13. Water impounded against tce Yes ~fe N/A <br />14. Existing embanlarent freeboard (feet) 13 , Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ~ N/A <br />16. Visible sums or sinkholes in slurry surface Yes ~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes Iq N/A <br /> b) Decant system Yes N~ N/A <br /> c) Diversion Ditches Yes Flo 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. ZYash racks clear and in place ® No N/A <br />2 <br />3~~-9~ <br />