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PERIODIC <br />WATII2, SIDIl~TT, OR SLURRY <br />FORM <br />Inspectors Name : r{, L , ~~lok~ Date : 3-ZI - ~l-1 <br />NPDES ID. No.:CO-0000213 006 Date Last Inspected:f -~?_ Q 1 <br />Facility Configuration:Cross Valley Pond <br />Site Name: Impoundment #006 Location:47N16W36AC <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) r.:~ No N/A <br />2. Lift thickness (inches) ~y / K~~ <br />3. Compaction 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 ~ 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 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 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 />/~~N~/ of l..~ ~'M- In le7~a.,, <br />~.z!- 97 <br />