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PERIODIC INSPECTION FORM <br />NiF~aTEFt, SEDII~TP, OR SLURRY <br />Inspectors Name : 'Z _ L., ,~,~e., Date : ~_ z ~ _ q-r, <br />NPDES ID. No.:CO-0000213 004 Date Last Inspected: 3- z--9'1 <br />Facility Configuration:Side Hill Pond <br />Site Name: Ir~ounchnent #004 Location:47N16W36CB <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: <br />Owners Rep.: R. L. Wade. Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stunq~s., topsoil) t~ No N/A <br />2. Lift thickness (inches) ~Z,. ~ ti~ <br />3. Cortg~action according to approved plan ~ 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.) Fran underdrain pipes: Yes ® N/A <br /> b.) At isolated points on embanlarent slopes: Yes Jo N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) Over widespread areas Yes ® N/A <br /> e) Fran downstream foundation area 'Yes QI~O N/A <br /> f) "Boils" beneath scream or ponded water Yes ~ N/A <br />7. Cracks or scarps on crest Yes ® N/A <br />B. Cracks or scraps on slope Yes ~ N/A <br />3. 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 tce Yes ® N/A <br />13. Water irtg>ounded against tce Yes ~ NSA <br />14. Existing embankment freeboard (feet) (Z ~ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ® N,~A <br />16. Visible surt~s or sinkholes in slurry surface Yes ® N,~A <br />17. Clogging <br /> a) Spillway channels and pipes Yes i~ 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 ® NSA <br /> b) Decant system Yes ® N/A <br />19. Trash racks clear and in place ®e , No N/A <br />.1~. '~ V~ <br />~oKa ~.S ~ <br />7, z.1 ~ 9'1 <br />