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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name : ~ « G.,,b~~ Date : ~. q- 6 ~( - <br />NPDES ID. No.:CO-0000213 Date Last Inspected : ~ -3-0 4- <br />Facility Configuration: Total Incised Pond <br />Site Name: Impoundment #009 Location:4 7N16W SEC 36 <br /> <br />Mine Name: New Horizon Mine Location:l mi.NW of Nucla, CO. <br /> <br />Mine ID No.: CDMG Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE R ESPONSE <br />1. n, stumps., tops <br />Foundation Preparation (removal of vegetatio oil) Y®. No N/A <br />2. / <br />Lift thickness (inches) ~ Z. iNc.~i <br /> <br />3. <br />Compaction according to approved plan /~ <br />LY¢y <br />No <br />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 embankment elopes: Yes ~ N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) Over widespread areas Yes ~ N/A <br /> e) From downsteam foundation area Yes ® N/A <br /> f) "soils" beneath stram or ponded water Yes No N/A <br />7. Cracks or scarps on treat Yes ~ N/A <br />e. Cracks Or scraps on slope Yes ~ N/A <br />9. Sloughing or bulging on slope Yes ~ N/A <br />10. Major erosion problems Yea ~ N/A <br />11. Surface movements in valley bottom or on hillside Yes ~ N/A <br />12. Erosion of toe Yes ~ N/A <br />13. water impounded against toe Yes ~° N/A <br /> <br />14. Existing embankment freeboard (feet) ~ Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ~ N/A <br />16. ViS ible SnmpS oz alnkhOle9 in slurry SurfdCe Yea ~ <br />`y/ 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 ly 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 Ye No N/A <br />poy p is 1~-~, <br />F:\Eng\DATA\WP\pand-banks\DAMFOBM.wpd <br />O~OEW S ~'li'c9c~ <br />~ ~~~ <br />~o . <br />i~ <br />i <br />- <br />~~ i <br />9 -9-0~ <br />