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PERIODIC INSPECTION FORM <br />WATER, SIDIMENT, OR SLURRY INlPOUbIDMENTS <br />Inspectors Name : 1Z.. L . ~~loka Date : ~r .. ~ q _ g-~ <br />NPDES ID. No.:CO-0000213 004 Date Last Inspected: 9-~6- q'j <br />Facility Configuration:Side Hill Pond <br />Site Name: Irro~oundment #004 Location:47N16W36CB <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla. CO. <br />Mine ID No.: C4~ILRD Perm <br />Owners Rep.: R. L. Wade. Mine M <br /> CIRCLE OR WRITE IN AP'PROPRIAT'E RESPONSE <br />1. Foundation Preparation (removal of vegetation, stUrt¢:s., topsoil) ~ No N/A <br />2. Lift thickness (inches) ti <br />3. Cort¢~action according to approved plan ® No N/A <br />9. Burning (specify extend and location) Yes ~ N/A <br />5. Nigle of slope: 3:1 upst ream, ~:1 downstream <br />6. Seepage (speciLy location, color, and approx. volume) <br /> a.) From underdrain pipes: Yes ~ N/A <br /> b.) At isolated points on embankment slopes: Yes ® N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) liver 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 />B. Cracks or scraps on slope Yes ®i N/A <br />9. Sloughing or bulging on slope Yes ® N/A <br />10. Major erosion problems Yes ® N/A <br />11. Surface movements in valley bottan or on hillside Yes ® N/A <br />12. Erosion of tce Yes ~ N/A <br />13. Water mounded against tce Yes ~ ® N/A <br />14. Existing embanlonent freeboard (feet) 11 L Feet <br />15. Cracks, bulging, or erosion on upstream face Yes N/A <br />16. 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 cashing of pipes <br /> a) Spillway pipes Yes ® N/A <br /> b) Decant system Yes ® N/A <br />19. Trash racks clear and in place ~ No N/A <br />q tc ~ O rtrr;~` <br />. ~s <br /> <br />