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<br /> <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: ~~ ~~~ Date: <br />-~ ~n~~ d~ <br />NPDES ID. No.:CO-0000213, Date Last Inspected: Z,p ~e s o1 <br />_,~y, <br />Facility Configuration: Parcel Incised Pond <br />Site Name: Impoundment #0013 Location:47N16W SEC 36 <br />Mine Name: New Horizon Mine Location:l mi.NW of Nucla CO. <br />Mine ID No.: CDMG Permit #0008-81 <br />Owners Rep.: R. L. Wade, Mine Mana er <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) ~ No N/A <br />2• Lift thickn <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14. <br />15. <br />16. <br />17. <br />18 <br />19 <br />~~4,. VJ <br />ess (inches) <br />Compaction according to approved plan <br /> <br />Burning (specify extend and location) Ye <br /> <br />Yes No <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a•) From underdrain pipes: <br />Yes <br />b•) At isolated points on embankment slopes: Yes <br />c) At natural hillside: <br /> <br />d) Over widespread areas Yes <br /> <br />e) From downsteam foundation area Yes <br /> <br />Yes <br />f) "Boils" beneath strain or ponded water <br /> <br />C <br />Yes <br />racks or scarps on crest <br />Yes <br />Cracks or scraps on slope <br /> <br />Sloughing or bulging on slope Yes <br /> <br />Major erosion problems Yes <br /> <br />Surface movements in valley bottom or on hillside Yes <br /> <br />Erosion of toe Yes <br /> <br />Water impounded against toe Yes <br /> <br />Yes <br /> <br />Existing embankment freeboard (feet) ~ <br />f <br /> <br />Cracks, bulging, or erosion on upsteam face I <br /> <br />Yes <br />Visible sumps or sinkholes in slurry surface <br />Yes <br />Clogging <br />a) Spillway channels and pipes <br /> <br />b) Decant system Yes <br /> <br />c) Diversion Ditches Yes <br /> <br />Cracking or crushing of pipes Yes <br />a) Spillway pipes <br /> <br />b) Decant system Yes ®, <br /> <br />Trash racks clear and in place Yes <br /> <br />No <br />/~ ` <br />r r~~C.'t~ <br />O1r~ <br />` <br />t ~~ <br />Tr « e .q, o S? W ~ t n ovv~ ~ <br />F:\Eng\DATA\WP\pond-banks\DAMFORM.wpd <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />Feet <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />N/A <br />.7~ laud o""'t <br />