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PERIODIC INSPECTION FORM <br />WATER, SIDII~N'P, OR SLURRY <br />Inspectors Name : ~,s s G,,Sk.._ Date : 3-~~ 9 <br />NPDES ID. No.:~0-0000213 003 Date Last Inspected: ) Z-6_ njs' <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #003 Location: 47N16W36BC <br />Mine Name: New Horizon Mine Location: 2 m; NW of Nuc la CO <br />Mine ID No.: ,R ~~ #0008-81 <br />Owners Rep.: R. L. Wade Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <br /> <br />2. i <br />Lift thickness (inches) ~ 2.~ <br />3. Compaction according to approved plan ~l No N/A <br />4. Burning (specify extend and location) Yes ~ N/A <br />5. Angle of slope: ~], upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. wlume) <br /> a.) Frcxn underdrain pipes: Yes No N/A <br /> b.) At isolated points on embanlam~t slopes: Yes ~ N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) Over widespread areas Yes ~ N/A <br /> e) Fmm downsteam foundation area Yes cC~ N/A <br /> f) "Boils" beneath strain or ponded water Yes N~ N/A <br />7. Cracks or scarps on crest Yes No7 N/A <br />8. Cracks or scraps on slope Yes N/A <br />9. Sloughing or bulging on slope Yes ~ N/A <br />10. Major erosion problems Yes ~ N/A <br />11. Surface movements in valley bottom or on hillside Yes ® N/A <br />12. Erosion of toe Yes ~ N/A <br />13. Water impounded against tce Yes ^ <br />~l N/A <br />14. 6cisting anbanlamrt freeboard (feet) ~ _ Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ~ N/A <br />16. Visible surtg>s or sinkholes in slurry surface Yes N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes No N/ <br /> b) Decant system Yes No N <br /> c) Diversion Ditches Yes No <br />1S. Cracking or crashing of pipes <br /> a) Spillway pipes Yes No N/ <br /> b) Decant system Yes No <br />19. 1Yash racks clear and in place Yes No <br />~~ r~~f~~'yG <br />