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' <br />RECEIVED <br />NOV 2 4 1997 <br />PERIODIC INSPECTION FORM <br />WATER, SIDIMENT, OR SLURRY ]]MPOUAIDNIENTS <br />Division of Minerals ~ Geology <br />Inspectors Name:, 1, ,~~,~~o, Date: ~\- ~q _ g'~ <br />NPDES ID. No.:~0-0000213 001 Date Last Inspected: q_~ g _q-~ <br />Faci lity Configuration•Cross Valley Pond <br />Site Name: Impoundment #001 Location :47N16W36BC <br />Mine Name: New Horizon Mine Location :2 mi.NW of Nucl a CO <br />Mine ID No.: QKLRD Permit #0008-51 <br />Owne rs Rep.: R L Wa~lg, Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Fowidation Preparation (removal of vege[a lion', stu`rps., topsoil) Ye No N/A <br />2. LrE[ thickness (inches) <br /> <br />3 <br />Compaction accordtrg tr, approved plan _ <br />~ <br />No <br />N/A <br />9. Hu ruing (specify extend and location)- Yes ® N/A <br />5. Nagle of slope: 3'1 upst ream, ~:~ downstream <br />6. Seepage lspecify location, color, and approx. volume) <br /> a.) From underdrain pipes: Yes ® N/A <br /> b.) At isolated points on emharJanen[ slopes: Yes ~ N/A <br /> c) At natural hillside: Yes ®o N/A <br /> - <br />dl Over widespread areas Yes ~' N/A <br /> el Frcm downstream foundation area Yes ~ N/A <br /> f) "Boils" beneath stream or ponded water Yes ~ N/A <br />7. Cracks or scarps cn crest- Yes ~ N/A. <br />B. Cracks or scraps on slope Yes ® N/A <br />9. Sloughing or bulging on slope Yes ~ N/A <br />10. Major erosion problems- Yes Q N!A <br />- 11. Surface moveirents in valley bot[an or on hillside Yes ~ N/A <br />12. Erosion of tce Yes ® N/A <br />13. _ <br />water irtpounded against tce Yes ~ N/A <br /> , <br />1a. Existing embanlanent freeboard (feet) ~ ' ;~__ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ~' N/A <br />16. Visible surtps or sinkholes in sluaz y surface Yes ® N/A <br />17. Clogging <br /> a) Spillway cha'mels and pipes Yes ® N/A <br /> b) Decant system- Yes ~' . N/A <br /> c) Diversion Ditches Yes ~ h7/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes- Yes ~ N/A <br /> b) Decan[ system Yes /v lv/A <br />19. Trash racks clear and in place ®e No N/A <br />//-~ 9- 97 <br />