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PERIODIC 7STSPECTION FORM <br />V~,TER, SIDII~NT, OR SLURRY INIPOT]t~IDMEN'PS <br />Inspectors Name : ~_ L , ~~ Date : ~ • (7. ~] 7 <br />NPDES ID. No.:CO-0000213 004 Date Last Inspected: 8_w~~~_ <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #004 Location:47N16W36CB <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla. CO. <br />Mine ID No.: CA4LRD P <br />Owners Rep.: R. L. W <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stuns., topsoil) Y® No N/A <br />2. Lift thickness (inches) <br />3. Conac[ion 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.) Frcm underdrain pipes: Yes ~ N/A <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) Fran 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 inounded against tce Yes ® N/A <br /> r <br />14. Existing embanlarent freeboard (feet) ~ _ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ~ N/A <br />16. Visible suns or sinkholes in slurry surface Yes ® N/A <br />17. Clogging <br /> a) Spillway charnels and pipes Yes ® N/A <br /> b) Decant system Yes ® N/A <br /> c) Diversion Ditches Yes ® N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ® N/A <br /> b) Decant system Yes ® N/A <br />19. TYash racks clear and in place ® No N/A <br />-pa.d ~ <br />