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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: I~,« ~,,~~ Date: ~ /7_x'3 <br />NPDES ID. No.:CO-0000213 008 Date Last Inspected: /- 9.0 3 <br />Facility Configuration:Total Encised Pond <br />Site Name: Impoundment #008 Location:46N15W6 <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 RESP ONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan Ye No N/A <br />4. 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 underdrain pipes: Yes Qo N/A <br /> b.) At isolated points on embankment slopes: Yes ~ N/A <br /> c) At natural hil hide: Yes ~' N/A <br /> d) Over widespread areas Yes `~ N/A <br /> e) From downsteam foundation area Yes ~N ~ N/A <br /> f) "HOils~~ beneath etram or ponded water Yes ~ N/A <br />7. Cracks or scarps on crest Yes .iP@ N/A <br />8. Cracks or scrape on elope Yes ® N/A <br />9. Sloughing or bulging on elope Yes ~ N/A <br />10. Mdj oZ er0910R problem9 Yea ~ N/A <br />11. surface movements in valley bottom oz on hillside Yea ~ N/A <br />12. Erosion of toe Yes ~ N/A <br />13. Water impounded against toe Yee ~ N/A <br />14. Existing emban)onent freeboard (feet) 7~• Feet <br />15. Cracks, bulging, or erosion on upsteam face Yea ~ N/A <br />16. Via ible sumps or eiakholes in slurry surface Yes ~ N/A <br />17. Clogging <br /> a) Spillway channels and pipes Yea ~ N/A <br /> b} Decant system Yes ~ N/A <br /> c) DiveraiOn Ditches Ye9 N~ N/A <br />18. Cracking or crushing of pipes <br /> a) Spillway pipes Yes ~ N/A <br /> b) Decant system Yea ® N/A <br />19. Trash racks clear and in place Ye No N/A <br />No .1~(s ~ ,-~j-e- <br />9-~ ~- 03 <br />