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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name: 11 C)AAAS. <br />NPDES ID. No.: 0000213 <br />Date: I t t 13 . COJ <br />Date Last Inspected: <br />Facility Configuration: Total Incised Pond <br />Site Name: Impoundment #008 Location:46N15W SEC 6 <br />Mine Name: New Horizon Mine Location: 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) es No N/A <br />2. <br />Lift thickness (inches) <br />3. <br />Compaction according to approved plan <br />No <br />N/A <br />4. <br />Burning (specify extend and location) <br />Yes <br />N/A <br />5. <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />6. <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: <br />Yes <br />N/A <br />b.) At isolated points on embankment slopes: <br />Yesb <br />N/A <br />c) At natural hillside: <br />Yes <br />N/A <br />d) Over widespread areas <br />Yes <br />N/A <br />e) From downsteam foundation area <br />Yes <br />N/A <br />f) "Boils" beneath stram or ponded water <br />Yes <br />10 <br />N/A <br />7. <br />Cracks or scarps on crest <br />Yes <br />N/A <br />8. <br />Cracks or scraps on slope <br />Yes <br />N/A <br />9. <br />Sloughing or bulging on slope <br />Yes <br />® <br />N/A <br />10. <br />Major erosion problems <br />Yes <br />41E <br />N/A <br />il. <br />Surface movements in valley bottom or on hillside <br />Yes <br />N/A <br />12. <br />Erosion of toe <br />Yes <br />N/A <br />13. <br />Water impounded against toe <br />Yes <br />N/A <br />14. <br />Existing embankment freeboard (feet) 5 4- 58 .2 - 5 44q .9 <br />L <br />Feet <br />15. <br />Cracks, bulging, or erosion on upsteam face <br />Yes <br />N/A <br />16. <br />Visible sumps or sinkholes in slurry surface <br />Yes <br />N/A <br />17. <br />Clogging <br />a) Spillway channels and pipes <br />Yes <br />N/A <br />b) Decant system <br />Yes <br />N/A <br />c) Diversion Ditches <br />Yes <br />N/A <br />18. <br />Cracking or crushing of pipes <br />a) Spillway pipes <br />Yes <br />N/A <br />b) Decant system <br />Yes <br />,r � <br />N/A <br />19. <br />Trash racks clear and in place <br />G> <br />No <br />N/A <br />F: \Eng \DATA \WP \pond - banks \DAMFORM.wpd <br />� 00-j c, <br />