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PERIODIC INSPECTI@T FORM <br />WATE12, SEDII~Tr, OR SLURRY <br />Inspectors Name : (, , ~, Date : _3_ y ~ _ q"~ <br />NPDES ID. No.:CO-0000213 003 Date Last Inspected: ~-~~, Q'~ <br />Facility Configuration:Side Hill Pond <br />Site Name: Imooundment #003 Location:47N16W36BC <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla. CQ~ <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. Lif[ thickness (inches) ~Z i,v~ <br />3. Compaction according to approved plan e® 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 /A <br /> b.l At isolated points on embarilarent 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) ~ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ® N/A <br />16. Visible sins or sinkholes in slurry surface Yes ® N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yes No <br /> b) Decant system Yes No <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 ~. <br />19. Trash racks clear and in place Yes No <br />Ton ~`-+' °R~~S <br />3- 2~• 9? <br />