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PERIODIC <br />FORM <br />WATER, SEDIMENT, OR SLURRY II~OUAIDMEN'i'S <br />Inspectors Name: R.L • C~u~g Date: II- ~9- 9~ <br />NPDES ID. No.:CO-0000213 007 Date Last Inspected: 9-~5-9 l <br />Faci lity Configuration:Cross Valley Pond <br />Site Name: Impoundment #007 Location:4 7N15W6 <br />Mine Name: New Horizon Mine Location:2 mi.NW of Nucla, CO. <br />Mine ID No.: CMLRD Permit #0008-81 <br />Owne rs Rep.: R. L. Wade Mine Manager <br /> CIRCLE OR WRITE IN APPROPRIATE <br />R ESPONSE <br /> ti <br />1. Foundation Preparation (removal of vegetation, stunq~s., topsoil) ~ No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan ~ No N/A <br />4. Burning (specify extend and location) Yes ® N/A <br />5. Nigle of slope: 3~1 upstream, ~;~ downstream <br />6. Seepage (specify location, color, and approx. volume) <br /> a.) From underdrain pipes: YBS ® N/A <br /> b.) At isolated points on embanlanent slopes: Yes ®' N/A <br /> c) At natural hillside: Yes ~ N/A <br /> d) Over widespread areas Yes ® N/A <br /> e) Fran 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 movements in valley bottan or on hillside Yes ® N/A <br />12. Erosion of tce Yes ~ N/A <br />13. Water irtq>ounded against [ce Yes ~ N/A <br />19. Exis[ing embankment freeboard (feet) ~ Feet <br />15. Cracks, bulging, or erosion on upstream face Yes ~ N/A <br />16. Visible sums 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 />1B. 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 ~j No N/A <br />J(-~9-97 <br />