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PERIODIC INSPECTI02~i FORM <br />WATER, SIDIl~3~PT, OR SLURRY <br />Inspectors Name : jt , L _ G~~,,b~c.. Date : ~ _'s3 - 9Z <br />NPDES ID. No.:CO-0000213 006 Date Last Inspected : 3 -z~-qZ <br />Facility Configuration:Cross Valley Pond <br />Site Name: Illu~oundment #006 Location: 47N16W36AC <br />Mine Name: New Horizon Mine Location: [r1i.NW of Nuc la CO. <br /> <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade. Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Founaation Preparation lremoval of vegetation, sturtg~s., topsoil) ~ No N/A <br />2. Lift thickness (inches) ~Z ~ M o6 <br />3. Compaction 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 J From underdrain pipes: Yes ~ N/A <br /> b.) At isolated points on embarilanent slopes: Yes ® N/A <br /> c) At natural hillside: Yes ® N/A <br /> d) Over widespread areas Yes ® N/A <br /> e) From downstream foundation area Yes ~ N/A <br /> f) "Boils" beneath scream or ponded water Yes ~ 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 bottom or on hillside Yes ~ N/A <br />12. Erosion of tce Yes ® N/A <br />13. Water impounded against tce Yes ® N/A <br />14. Existing embankment freeboard (feet) ~Z. Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ® N/A <br />16. Visible sumps or sinkholes in slurry surface Yes ~ N/A <br />17. Clogging <br /> a; Spillway channels and pipes Yes ~ N/A <br /> b) Decant system Yes ® N/A <br /> c) Diversion Ditches Yes ~ N/A <br />la. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ~ N/A <br /> b) Decant system Yes ® N/A <br />19. Trash racks clear and in place ~ No N/A <br />~Z ~o~ ~`' ~ yr ~~n~ <br /> <br />