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PERIODIC <br />FORM <br />WATER, SIDII~TT, OR SLURRY II~iPOUbIDMEN'PS <br />Inspectors Name : ~4ss ~,~~ Date : 3--a _ ~ ~ <br />NPDES ID. No.:CO-0000213 005 Date Last Inspected: /z-~_ /S <br />Facility Configuration:Side Hill Pond <br />Site Name: ImDOUndment #005 Location:47N16W36AD <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla CO. <br />Mine ID No.: CS4LRD Permit #0008-81 <br />Owners Rep.: R. L. Wade Mine Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7. <br />8. <br />9. <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />Foundation Pmpamtion (removal of vegetation, stumps., topsoil) ~ No <br />Lift thickness (inches) /2 ~ <br />Cortg>action according to approved plan ~' No <br />Burning (specify extend and location) Yes Na <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) Fran undexdrain pipes: Yes N~ <br />b.) At isolated points on embanlanent slopes: Yes <br />c) At natural hillside: Yes <br />d) Over widespread areas Yes <br />e) Fran dowrLSteam foundation area Yes <br />f) "Boils" beneath stram or ponded water Yes 0 <br />Cracks or scarps on crest Yes <br />Crocks or scraps on slope Yes ~~ <br />Sloughing or bulging on slope Yes <br />Major erosion problems Yes No <br />Surface movements in valley bottom or on hillside Yes <br />Erosion of tce Yes <br />Water impounded against tce Yes Ng~ <br />6cisting embankment freeboard (feet) ~ /3 , <br />Crocks, bulging, or erosion on upsteam face Yes <br />Visible sins or sinkholes in slurry surface Yes <br />Clogging <br />a) Spillway channels and pipes Yes ~~ <br />b) Decant system Yes <br />c) Diversion Ditches Yes <br />Crocking or crushing of pipes <br />a1 Spillway pipes Yes C~~ <br />b) Decant system Yes <br />Trash racks clear and in place Yew Po <br />~ n ~ G~ c ~ - ii, a ~~ O~ REG/g <br /> <br />~ o ~S~i~- <br />/ 17 T <br />Q.P~•WISC.F <br />o.G E G_9F <br /> <br />~ <br />'~,g~9G <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />