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PERIODIC <br />WATER, SIDIl~TT, OR SLURRY <br />FORM <br />Inspectors Name : ~, ss ~,, b k~ Date : 3r o _q ~ <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: <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.: <br />Owners Rep.: <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) es No N/A <br />2. Lift thickness (inches) rj ~~ <br />3. Compaction according to approved plan Yes 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 N9 N/A <br /> b.) At isolated points on embankment slopes: Yes C13~. N/A <br /> c) At natural hillside: Yes (`may`'\] N/A <br /> d) Over widespread areas Yes No N/A <br /> e) Fran downsteam foundation area Yes loo N/A <br /> f) "Boils" beneath strain or ponded water Yes No N/A <br />7. Cracks or scarps on crest Yes No N/A <br />8. Cracks or scraps on slope Yes No N/A <br />9. Sloughing or bulging on slope Yes No N/A <br />10. Major erosion problems Yes No N/A <br />11. Surface movements in valley bottom or on hillside Yes No N/A <br />12. Erosion of tce Yes N/A <br />13. Water impounded against tce Yes ® N/A <br />14. 6cisting e~nbanlmient freeboard (feet) _ ~ Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes C_ N/A <br />16. Visible sumps or sinkholes in slurry surface Yes N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes No N/A <br /> b) Decant system Yes N/A <br /> c) Diversion Ditches Yes Q° N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes No N/A <br /> b) Decant system Yes N/A <br />19. 1Yash racks clear and in place Yes No N/A <br />~~5 rN ~5 ~ ~'~ <br />PP~O ~ $ /SrF <br />Or SEW G':9F <br />., g li~•, <br />:Q <br />~:•-. •G~ <br />FSS)ONA~~a <br />