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PERIODIC INSPECTION FORM <br />HATER, 6EDIMENT, OR BLURRY IMPOUNDMENTS <br />Inspectors Name: ~« ~^~•J <br />NPDES ID. No.s CO-0000213 006 <br />Facility Configuration: Cross Valley Pond <br />Site Name: Impoundment 1 006 <br />Mine Names New Horizon Mine Western Fuels-Co <br />Mine ID No.sCMLRD Permit E8008-81 <br />Owners Rep.: R. L. Wade. Mine Manager <br />1. <br />2. <br />3. <br />4. <br />5. <br />b. <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />lb. <br />17. <br />10. <br />Date: :- ("7-95 <br />Date Last Inspected: 9-22-9~1 <br />Location: 47N16W36AC <br />Locatione2 mi. NW of Nucla, Co. <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />Foundation Preparation (removal of vegetation, stumps, topsoil) <br />Lift thickness (inches)s 17- <br />Compaction according to approved plane <br />Burning (specify extent and lmcatian)s <br />Angle of slope: 3:1 upstream, 3:1 downstream, <br />Seepage (specify location, color, and approx. volume) <br />From downstream foundation areas <br />'Boils' beneath stream or ponded water: <br />From underdrain pipers <br />At isolated points on embankment slopes:_ <br />At natural hillsides <br />Over widespread areas: <br />Cracks or scarps on crest: <br />Cracks or scarps on slope: <br />Sloughing or bulging an slope: <br />tMajor erosion problems: <br />Surface movements in valley bottom or on hillside: <br />+Erosian of tae: <br />+Water impounded against toes <br />Existing embankment freeboard (feet): <br />increase ar / decrease in water <br />Cracks, bulging, or erosion on upstream face:_ <br />Visible sumps or sinkholes in slurry surface:_ <br />+Clogging <br />Spillway channels and <br />Decant systee: <br />Diversion ditchers _ <br />pipes: <br />19. +Cracking or crushing of pipes <br />No N/A <br />Yes No N/A <br />® No N/A <br />Yes f~ N/A <br />Total = b_1 <br />Yes No /A <br />Yes ~ N/A <br />Yes o N/A <br />Yes a N/A <br />Yes N/A <br />Yes N/R <br />Yes N/A <br />Yes o N/A <br />Yes o N/A <br />Yes N/A <br />Yes o 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 />12. Feet <br /> 5,5 Feet <br />Yes ~n~ N/A <br />Yes ~ND~ N/A <br />Spillway pipes: Yes ~ N/A <br />Decant system: 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 p~~~.~~~ilSp sported <br />to the Chief Engineer and Mine Manager for further evaluation O~'1~~~~ ions <br />noted in these items should normally be described lextent.;•~ion, voQ~ etc.) <br />an page two of this inspection form. <br />level (feet): <br />~~ V ;~ <br />~,/7- ~ <br />(+J•+,-ems ~s APrentiimrareL4 l0 3ewu: SPIT-Ir .... (j <br />.~ <br />