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PERIODIC INSPECTION FDRM <br />NATER, SEDIMENT, OR 8LURRY IMPOUNDMENTS <br />Inspectors Namee ~cP~ ~'A¢~'J <br />NPDE6 ID. No.: CD-8008213 005 <br />Facility Configuration:__Cross Valley Pmnd <br />Site Name: Impoundment { 005 <br />Mine Name: New Horizon Mine Nestern Fuels-Co <br />Mine ID No.:CMLRD Permit /0000-81 <br />Owners Rep.: R. L. Node, Mine Manamer <br />Date: 1'11-4 6 <br />Date Last Inspected: 4-zz-gy <br />Location: 47N16N36AD <br />Location:2 mi. NN of Nuela. Co. <br />CIRCLE OR NRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps, topsoil) 4® No N/R <br />2. Lift thickness (inches): i2 Yes No N/p <br />3. Compaction according to approved plan: ~ No N/A <br />4. Burning (specify extent and location): Yes ~ N/A <br />5. Angle of slmpes 3:1 upstream, 3:1 downstream, Total 6e1 <br />6. Seepage (specify lmcation, color, and approx. volume) <br />7. <br />0. <br />9. <br />I0. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18. <br />19 <br />20. <br />Fro^ underdrain pipes: <br />At isolated points on embankment slopes: <br />At natural hillside: <br />Over widespread areas: <br />From downstream foundation area: <br />'Boils' beneath stream or ponded water: <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging on slope: <br />+Major erasion problems: <br />Surface movements in valley bottom or on hillside: <br />+Erosian 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 on upstream face: <br />Visible sumps or sinkholes in slurry surface: <br />+Glogging <br />Spillway channels and <br />Decant system: <br />Diversion ditches: _ <br />+Cracking or crushing of pipes <br />Spillway pipes:_ <br />Decant system: _ <br />Trash racks clear and <br />in place: <br />+Major adverse changes to these items could cause in <br />to the Chief Engineer and Mine Manager for further <br />noted in these items should normally be descri <br />an page two of this inspection form. r,;;! <br />pipes: <br />Yes No /A <br />Yes ® N/A <br />Yes N/A <br />~ <br />Yes N/A <br />Yes N/A <br />Yes N/A <br />Yes o N/A <br />Yes o N/A <br />Yes o N/A' <br />Yes N/A <br />Yes N/A <br />Yes a N/A <br />Yes ~ N/A <br />13 Feet <br />- O - Feet <br />Yes N/A <br />Yes ~ N/A <br />Yes o N/A <br />Yes N/A <br />Yes No N/A <br />Yes N/A <br />N/A <br />Ye No N/A <br />and should 6e reported <br />~,,Adverse conditions <br />q~tion, volume, etc.) <br />-BPs:N ~s ~y A9~FSF~:~s~~ ~~,~-qs <br />