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PERIODIC INSPECTION FORM <br />WATER, SIDII~TT, OR SLURRY II~OUNI7MENTS <br />Inspectors Name : 'R _ L _ ~i~p~j,~ Date : ~ _Z ~ .. q'~ <br />NPDES ID. No.:CO-0000213 005 Date Last Inspected: ~. ~-~_ q"~ <br />Facility Configuration:Side Hill Pond <br />Site Name: Impoundment #005 Location: 47N16W36AD <br />Mine Name: New Horizon Mine Location: 2 mi.NW of Nucl a CO. <br /> <br />Mine ID No.: QKLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. on, sturtq~s., topsoil) ~ <br />Foundation Preparation (removal of vegetati No N/A <br />2. o <br />Lift thickness (inches) ~Z /Xel. <br />3. Cortq~action 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 ® N/A <br /> b.) At isolated points on embanlanent 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 surt~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 />Bona 15 ~Y~ <br />