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PERIODIC INSPECTION FORM <br />WATER, SIDIl~NT, OR SLURRY <br />Inspectors Name : R, L. ~. u b)to Date : /,~ , y? <br />NPDES ID. No.:CO-0000213 005 Date Last Inspected: 8 Zo- jG <br />Facility Configuration:Side Hill Pond <br />Site Name: I~loundment #005 Location:47N16W36AD <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, stumps., topsoil) ~ No 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,.~l downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) Frcm underdra rn pipes: Yes ~ N/A <br /> b.) At isolated points on embarJmient 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 problert~s Yes ® N/A <br />11. Surface movements in galley 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 />19. Existing embankment freeboard (feet) ~ - Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ® N/A <br />16. Visible surtq~s 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 />18. 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 />p ~;FGS <br />~ PC . <br />~r ' I p p`t' '`~IA~IS' ~, <br />