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PERIODIC INSPECTION FORM <br />NATER~ SEDIMENT, OR BLURRY IMPOUNDMENTS <br />Inspectors Name: ~EFr- ~~~v~ <br />NPDES ID. No.s CO-0000213 BB2 <br />Facility Configuration: s e s Pmnd <br />Site Namee Impmundment 0 <br />Mine Namee New Horizon Mine Nestern Fuels-Co <br />Mine ID No.:CMLRD Permit X0008-81 <br />Owners Rep.: R, L. Node, Mine Manaoer <br />Date: ( - ~~-95 <br />Date Last Inspected: 4-ZZ-9 <br />Locations 47N15N31C8 <br />Locations2 ei. NN of Nucla, Co. <br />CIRCLE OR NRITE IN APPROPRIATE RESPONSE <br />I. Foundation Preparation (removal of vegetation, stumps, topsoil) es No N/A <br />2. Lift thickness (irichesle 12 Yes No N/A <br />3. Compaction according to approved plane © No N/A <br />4. Burning (specify extent and location): Yes ® N/A <br />5. Angle of slope: 3s1 upstream, 3:1 downstream, Total 6s1 <br />6. Seepage (specify location, colmr, and approx. volume) <br /> ~ <br /> From underdrain pipese Yes No N/ <br /> At isolated points on embankment slopes: Yes o N/A <br /> At natural hillside: Yes N/A <br /> Over widespread areas:. Yes to N/A <br /> From downstream foundation area: Yes o N/A <br /> 'Boils' beneath stream or ponded water: Yes ®o N/A <br />7. Cracks mr scarps mn crests Yes ® N/A <br />8. Cracks or scarps on slope: Yes ® N/A <br />9. Sloughing or bulging on slope: Yes ® N/A <br />10. +MaJor erasion problems: Yes lad N/A <br />li. Surface movements in valley bottom or on hillside: Yes ~ N/A <br />12. +Erosion of toe: Yes N/A <br />13. (Mater impounded against toe: Yes ~ <br />N N/A <br />14. Existing embankment freeboard (feet): y Feet <br />15. increase or decrease in water level (feet): - O - Feet <br />16. _ <br />Cracks, bulging, or erosion on upstream face: Yes o N/A <br />17. Visible sumps or sinkholes in slurry surface: Yes o N/A <br />18. (Clogging <br /> Spillway channels and pipes: Yes N/A <br /> Decant systems Yes ~ N/A <br /> Diversion ditches: Yes N/A <br />19. 'Cracking or crushing of pipes <br /> Spillway pipes: Yes ~ N/A <br /> Decant systems Yes N/A <br />20. Trash racks clear and in place: Yes No N/A <br />+Major adverse changes to these items could cause instability and should 6e reported <br />to the Chief Engineer and Mine Manager for further evaluation. Adverse conditions <br />noted in these items shmuld normally be described location, volume, etc.1 <br />mn page two of this inspection form. ,~_~~>'~E~iSTn <br />~>a~tJ Is ~-`( <br />~ •. - <br />~..~~ ~.- <br />