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<br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name : GAAbk? Date: pa <br />NPDES ID. No.:CO-0000213 Date Last Inspected: oe, Ob <br />Facility Configuration: Cross Valley Pond <br />Site Name: Impoundment #007 Location:46N15W SEC 6 <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 />Foundation Preparation (removal of vegetation, stumps., topsoil) (Z) No N/A <br />2. <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 />Lift thickness (inches) <br />Compaction according to approved plan ® No <br />Burning (specify extend and location) Yes <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: Yes 0 <br />b.) At isolated points on embankment slopes: Yes 0 <br />c) At natural hillside: Yes G <br />d) over widespread areas Yes Q <br />e) From downsteam foundation area Yes 6a <br />f) "Boils" beneath stram or ponded water Yes <br />Cracks or scarps on crest Yes No <br />Cracks or scraps on slope Yes <br />Sloughing or bulging on slope Yes <br />Major erosion problems Yes <br />Surface movements in valley bottom or on hillside Yes 0 <br />Erosion of toe Yes No <br />Water impounded against toe Yes N® <br />Existing embankment freeboard (feet) _%1t%,:- -5640,'i -7. s, <br />Cracks, bulging, or erosion on upsteam face Yes <br />Visible sumps or sinkholes in slurry surface Yes N <br />Clogging <br />a) Spillway channels and pipes Yes N <br />b) Decant system Yes <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes G <br />b) Decant system Yes <br />Trash racks clear and in place co No <br /> <br />-PbN p 15 iJ CZ -T:?% A 0-v r <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 />O <br />??00 <br />F:\Eng\DATA\WP\pond-banks\DAMFORM.wpd