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PERIODIC INSPECTION FORM <br />WATER, SEDIb~]T, OR SLURRY <br />Inspectors Name : }`~, L . 6 ubl'p, <br />NPDES ID. No.:CO-0000213 003 <br />Date: /-/?. q7 <br />Date Last Inspected: 8..$e_ 9,6 <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #003 Location:47N16W36BC <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: <br />Owners Rep.: <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONS <br />E <br /> <br />1. ~~ <br />~~ <br />Foundation Preparation (removal of vegetation, sturt~s., topsoil) (Yes/ <br />~~ <br />No <br />N/A <br />2. Lift thickness (inches) <br />3. Conq~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.) From underdrain pipes: Yes No V <br /> b.) At isolated points on embankment 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 ~p 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 bottdn or on hillside Yes ~ N/A <br />12. Erosion of tce Yes ~ N/A <br />13. Water irt~ounded against tce Yes ® N/A <br />14. Existing emban)onent freeboard (feet) ~ 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 charnels and pipes Yes No N/ <br /> b) Decant system Yes No N <br /> c) Diversion Ditches Yes No ~ <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes No <br /> b) Decant system Yes No N® <br />19. Trash racks clear and in place Yes No N/ <br />~~~.~' <br />G~ <br />J ~ •; <br />~~~~ n <br />