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<br />PII2IODIC INSPECTION FORM <br />WATER, SIDIl~N'!', OR SLURRY <br />Inspectors Name : ~ , (, , ~ubkct Date : Il - 14.9 7 <br />NPDES ID. No.: -0000213 005 Date Last Inspected: q./.S- 9 ? <br />Facility Configuration:Side Hill Pond <br />Site Name: Imr~oundment #005 Location: 47N16W35AD <br />Mine Name: New Horizon Mine Location: 2 mi.NW o f Nuc la CO. <br /> <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owners Rep.: R. L. Wade Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE RESPONSE , <br /> <br />1. Foundation Preparation (removal of vegetation, sturtq~s., topsoil) ~ No N/A <br />2. Lift thickness (inches) <br />3. Conq~action according to approved plan ® No N/P. <br />9. burning (specify extend and location) Yes No N/A <br />5. Angle of slope: 3'1 upstream, 3:1 downstream <br />G. Seepage (specify location, color, and approx. volume) <br /> a.) Prom underdrain pipes: Yes o N/A <br /> b.) P.t isolated points on embankment slcpes: Yes o N/A <br /> c) AC natural hillside:_ Yes ~ N/A <br /> d) Wer widespread areas Yes ® N/A <br /> e) Frcm drnmstream fwndation 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 SC raps 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 movements in valley bottom or on hillside Yes ~ N/A <br />12. Erosion of tce Yes ® N/A <br />13. 47a ter inq~ounded against tce_ Yes ® N/A <br />14. Existing embankment freeboard (feet) ~ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes N/A <br />1[. Visible surrq~s or sinkholes in slurry surface YCS ~ 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 /> al Sp.l Tway pipe= Yes ~ N/P. <br /> b) Decant system Yes ® N/P. <br />19. Trash racks clear and in place ~ No N/A <br />I ~'6c•~ O4 Wa~'`~ tv~ IW T~~ <br />//-~ 9.9~ <br />