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PERIODIC INSPECTION FORM <br />WATER, SIDII~TT, OR SLURRY <br />Inspectors Name : R, L ~ ~i,~,~~ Date : 3-Z/- <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected: /~~~. 9 1 <br />Facil ity Configuration:Cross Valley Pond <br />Site Name: Impoundment #007 Location: 47N15W6 <br />Mine Name: New Horizon Mine Location: 2 mi.NW o f Nuc la CO. <br /> <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owner s Rep.: R. L. Wade Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, sturtq~s., topsoil) Y® No N/A <br />2. Lift thickness (inches) / ~, /NC ~. <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 emban}mient slopes: Yes ® N/A <br /> c1 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 ®1 N/A <br />13. Water impounded against tce Yes , ® N/A <br />14. Existing embanlmient 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 ~e ' No N/A <br />,~ zi• 97 <br />