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PERIODIC <br />WATER, SIDIMENT, OR SLURRY <br />FORM <br />Inspectors Name : Z, ~ , ~ub1Co. Date : j (- r t - 9 -i <br />NPDES ID. No.:CO-0000213 002 Date Last Inspected: 9- 1S- 9 l <br />Faci lity Configuration:Side_I-Till Pond <br />Site Name: I~lpoundment #002 Location: 47N15W31C B <br /> <br />Mine Name: New Horizon Mine Location: 2 mi.NW o f Nucla, CO. <br /> <br />Mine ID No.: C'bII~RD Permit #0008-81 <br />Owne rs Rep.: R. L. Wade. Mine Manager <br /> CIRCLE OR WRITE IN, APPROPRIATE RESPONSE <br /> ` <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ® No N/A <br />2. Lift thickness (inches) <br />3. Cowaction according to approved plan ®. No N/A <br />9. 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 underdra rn pipes: Yes Q N/A <br /> b.) At isolated points on embanlrnient slopes: Yes Q N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) Over widespread areas Yes ~ N/A <br /> e) From downstream foundation area Yes ~ N/A <br /> f) "Boils" beneath scream or ponded water Yes ® N/A <br />7. Cracks or scarps on crest Yes ~ N/A <br />8. Cracks or scraps on slope Yes ® N/A <br />9. Sloughing or bulging on slope Yes ~ N/A <br />10. Major erosion problems Yes ~ N/A <br />11. Surface movertwsCS in valley bottan or on hillside Yes ® N/A <br />12. Erosion of tce Yes ® N/A <br />13. Water irt¢>ounded against tce Yes ® N/A <br />i9. Existing embanlanent freeboard (feeti ~ ~ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ~ N/A <br />1G. Visible sumps or sinkholes in slurry surface Yes ® 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 ~' N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes 1'es ~ N/A <br /> b) Decant system Yes ~ N/A <br />19. Trash racks clear and rn place ® No N/A <br />p R- <br />O{ W~+t~! ~r ~{{o+v~ eFPO'~Wi` <br />~fac.a v; cji <br />(/ ,•;L G <br />», n~~ vN~~ ~~ <br />~i-i9.9~ <br />