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PERIODIC INSPECTION FORM <br />WATER, SIDIb~I'P, OR SLURRY II+IP(7Ut~NTS <br />Inspectors Name : ~~~~ C-~ ,~ Date : ;3 _ ~ _ q ~, <br />NPDES ID. No.:CO-0000213 004 Date Last Inspected: /z-G- ~i5 <br />Facility Configuration:Side Hill Pond <br />Site Name: Irr~7oundment #004 Location:47N16W36CB <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, stuffs., topsoil) ~ Yeses No N/A <br />2. Lift thickness (inches) / Z '~ <br />3. Compaction according to approved plan C,Y~ No N/A <br />4. Burning (specify extend and location) Yes ® N/A <br />5. Angle of slope: 3:1 upstream, 3:1 davnstream <br />6. Seepage (specify location, color, and apprvx, volume) <br /> a.) Fran underdrain pipes: Yes Q N/A <br /> b.) At isolated points on embanlanent slopes: Yes No N/A <br /> c) At natural hillside: Yes .'o N/A <br /> d) Over widespread areas Yes '~ N/A <br /> e) From downsteam foundation area Yes ~ N/A <br /> f) "Boils" beneath stram or ponded water Yes ~1~ N/A <br />7. Cracks or scarps on crest ~ Yes ® 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 bottan or on hillside Yes ~ N/A <br />12. Erosion of tce Yes ® N/A <br />13. Water ingounded against toe Yes ® N/A <br />14. Existing embankmPS~t freeboard (feet) ~Z r Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ® N/A <br />16. Visible surtps or sinkholes in slurry surface Yes Lf18~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes ~ N/A <br /> b) Decant system Yes ®o N/A <br /> c) Diversion Ditches Yes ~ N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes 0° N/A <br /> b) Decant system Yes ~ N/A <br />19. '1Yash racks clear and in place ~~7E~1 No N/A <br />l~s-~J7 /f/~~ <br />~/O //~SG/+^~'~ <br />PP~p ftEGlST~ <br />~VIS <br />~:'~,E G'G,9~ <br />O.GjS ~~;0 <br />CL 2Y7 <br />tip., ~G~~ ~_o~q~ <br />~SS/ON E <br />