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<br />r <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name:s ?OkQ <br />NPDES ID. No.:CO-0000213 <br />Date : dR ! c 08 <br />Date Last Inspected: Jd?,,,,? p$ <br />Facility Configuration: Parcel Incised Pond <br />Site Name: Impoundment #011 Location:46N16W SEC 1 <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 Manager <br />CIRCLE OR WRITE IN APPROPRIATE RESPONSE <br />1. Foundation Preparation (removal of vegetation, stumps., topsoil) Ye No N/A <br />2 f <br /> Li t thickness (inches) <br />3. Compaction according to approved plan cz? 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 ® N/A <br /> b.) At isolated points on embankment slopes: Yes @ N/A <br /> c) At natural hillside: Yes N/A <br /> d) Over widespread areas Yes N/A <br /> e) From downsteam foundation area Yes N/A <br /> f) "Boils" beneath stram or ponded water Yes N/A <br />7. Cracks or scarps on crest Yes ® N/A <br />8. Cracks or scraps on slope Yes Qo 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 toe Yes ® N/A <br />13. Water impounded against toe <br /> <br />14. <br />Existing embankment freeboard (feet) St, 19,4. S?. 13 <br />'Z- Ye <br />( No <br />L0 N/A <br /> <br />15. , <br />Cracks, bulging, or erosion on upsteam face „• <br />Yes <br />4?D Feet <br />N/A <br />16. Visible sumps or sinkholes in slurry surface Yes Q 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 />is. Cracking or crushing of pipes g <br /> a) Spillway pipes Yes N/A <br /> b) Decant system Yes ?Y/ N/A <br />19. Trash racks clear and in place <br /> Ye No N/A <br />7 443 V% o n ? e-. ? a,tv? . ? W(ta ? C1M (? <br />3? .3?rna Wc.?++c CA tlW Gornr.Y?vet e1 ?06+n L R#Q-V % <br />F:\Eng\DATA\WP\pond-banks\DAMFORM.wpd <br />l?? ??U