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PERIODIC INSPECTION FORM <br />NATER~ SEDIMENTS OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~~ ~'J <br />NPDES ID. No.: CO-0000213 004 <br />Facility Configuration: Sidehill Pond <br />Site Name: Impoundment 0 BB4 <br />Mine Name: New Norizon Mine Nestern Fuels-Co <br />Mine ID No.:CMLRO Pereit #0008-81 <br />Owners Rep.: R. L. Node, Mine Manager <br />Date: 1-x'1-95 <br />Date Last Inspected: q'1'Z-9'-1 <br />Lmcatian: 47N15N33SC <br />Locatian:2 mi. NW of Nucla, Co. <br />CIRCLE OR NRITE IN APPROPRIATE RESPONSE <br />i. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />B. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />10. <br />Foundation Preparation (removal of vegetation, stumps, topsail) es No N/A <br />Lift thickness (inches): lj- Yes No N/A <br />Cmmpaction according to approved plan: © No N/A <br />Burning (specify extent and location): Yes ~o N/A <br />Angle mf slope: 3:1 upstream, 3:1 downstream, Total 6:1 <br />Seepage (specify location, color, and approx. volume) <br />From underdrain pipes: <br />At isolated points on embankment slopes: <br />Rt natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />'Bails' heneath stream or ponded water: <br />Cracks or scarps on crest: <br />Cracks or scarps an slope: <br />Sloughing or bulging an slope: <br />+Major erosion problems: <br />Surface movements in valley bottom ar on hillside: <br />+Erosion of toe: <br />+Nater impounded against toe: <br />Existing embankment freeboard (feet!: <br />increase or decrease in water level (feet): _ <br />Cracks, bulging, or erosion an upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />+Clogging <br />Yes No N/A <br />Yes N/A <br />Yes N/A <br />Yes o N/A <br />Yes N/A <br />Yes o N/A <br />Yes a N/A <br />Yes o N/A <br />Yes o N/A <br />Yes a N/A <br />Yes o N/A <br />Yes o N/A <br />Yes No N/A <br />11.5 Feet <br />- o - Feet <br />Yes N/A <br />Yes No N/A <br />Spillway channels and pipes: Yes ~a N/A <br />Decant system: Yes ~p N/A <br />Diversion ditchesi Yes No /A <br />19. +Cracking ar crushing of pipes <br />Spillway pipes: Yes ~ N/A <br />Decant system: Yes N/A <br />20. Trash racks clear and in places Yes No N/A <br />+Major adverse changes to these items could cause instability and should be reported <br />to the Chief Engineer and Mine Manager for further eva dverse conditions <br />noted in these items should normally 6e descrihed ~..~tT. on, volume, etc.) <br />on a e two of this ins action fora. P ''EWlS G"•'9 <br />~f~'S :IJ IS 1~~Y U~~~~ ~-~,-~s <br />