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~r <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:~sC ~~~~ Date: O 3 -~ 1 'z - C~`1 <br />NPDES ID. No.:CO-0000213 005 Date Last Inspected:It- o G -o(e <br />Facility Configuration:Incised Pond <br />-Site Name: Imuoundment #012 Location:47N16W Sec 36 <br />Mine Name: New Horizon Mine Location•2 mi.NW of Nucla, CO. <br />Mine ID No.: CDMG Permit #0008-81 <br />Owners Rep.: R. L. Wade. Mine Manager <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />~. <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 />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No <br />Lift thickness (inches) <br />Compaction according to approved plan Ye No <br />Burning (specify extend and location) Yes <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From uaderdrain pipes: Yes No <br />b.) At isolated points on emban)oaent slopes: Yes d~o <br />c) At natural hillside: Yes ~7 <br />d) Over widespread areas Yea <br />e) Pram downsteam foundation area Yes 4i~ <br />f) ^EOils• beneath strain or ponded water Yea ~I <br />Cracks or scarps on crest Yes <br />Cracks or scraps oa slope Yes <br />Sloughing or bulging on slope - Yes <br />Major erosion problems Yea <br />Surface movements in valley bottom or on hillside Yes eN~ <br />Erosion Of tce - Yea 4I~o <br />Nater impounded against tce Yes <br /> <br />Existing embaNwent freeboard (feet) i <br /> <br />Cracks, bulging, or erosion on upateam face <br />Yea ~ <br />l_ Je <br />Visible sumps or sinkholes in slurry surface Yes ~N9 <br />Clogging <br /> <br />a) Spillway channels and pipes <br />Yea ~ <br />l~J <br />b) Decant system Yes <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />a) Spillway pipes Yea <br />b) Decant system __ _ _ Yes <br />Trash racks clear and in <br />15 ~r~ <br />~~w a ~`JJ <br />,\ <br />F:\Eng\DATA\NP\pond-banks\DAMPOR <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 />Peet <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />/A <br />z__ o `t <br />