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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name -7 G??o'Cv Date: Ia <br />NPDES ID. NO.:CO-0000213 Date Last Inspected: J\-13-c3q <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 Nuc:la, 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. <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 />P,, a <br />Lift thickness (inches) <br />Compaction according to approved plan ® No <br />Burning (specify extend and location) Yes OD <br />Angle of slope: 3:1 upstream, 3:1 downstream <br />Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: Yes <br />b.) At isolated points on embankment slopes: Yes <br />c) At natural hillside: Yes Q> <br />d) Over widespread areas Yes QD <br />e) From downsteam foundation area Yes ImDf <br />f) "Boils" beneath stram or ponded water Yes <br />Cracks or scarps on crest Yes ?. <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 <br />Erosion of toe <br /> Yes <br />Water impounded against toe Yes <br />Existing embankment freeboard (feet) 0. 1 -tM 5- 8. G <br />Cracks, bulging, or erosion on upsteam face Yes <br />Visible sumps or sinkholes in slurry surface Yes <br />Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant system Yes <br />c) Diversion Ditches Yes <br />Cracking or crushing of pipes <br />a) Spillway pipes Yes <br />b) Decant system Yes 49?4 <br />Trash racks clear and in place <&D No <br />?v, % <br />15 ""? CA 's"t,Ve <br />v qn M SG/ <br />W ?@ As G v3 c? S?c cj r. V A L,Vt.S <br />CL-,e Q. <br />F:\Eng\DATA\Wp\pond-banks \DAMFORM.wpd <br />D??lt 'lei <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 />lONAI. +