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PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name : l "' C ?k q Date: l yI.AY -Zd I O <br />NPDES ID. No.:CO-0000213 Date Last Inspected: $ ?$ b Zo(D <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 Perm--.#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) L- Y--"-" N/A <br />2. Lift thi kn <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 />c ess (inches) <br />Compaction according to approved plan Yes <br />Burning (specify extend and location) <br />Yes <br />' do <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 />' `?:5+' <br />b•) At isolated points on embankment slopes: Yes 14) <br />c) At natural hillside: <br /> <br />d) over widespread areas Yes (Ep <br /> <br />e) From downsteam foundation area Yes 930 <br /> <br />- <br /> <br />f) "Boils" beneath stram or ponded water Yes <br /> <br />Yes 91 <br />9 <br /> <br />QIQ <br />Cracks or scarps on crest <br /> <br />Cracks or scraps on slope Yes <br />10 <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 />Yes <br />.Erosion of toe <br /> <br />Water impounded against toe Yes <br /> <br />Existing embankment freeboard (feet),S(-?. 'Z -,S. 3qOi Yes/ <br />Cracks, bulging, or erosion on upsteam face <br /> <br />Visible sumps or sinkholes in slurr <br />surf <br />Yes <br />QIR <br />y <br />ace <br />Clogging <br />Yes <br />a) Spillway channels and pipes <br />Yes <br />b) Decant system Yes <br />c) Diversion Ditches <br />Yes ^ <br />N <br />o <br />Cracking or crushing of pipes ? <br />a) Spillway pipes <br />Yes <br />271P <br />b) Decant system <br />Yes <br />Trash racks clear and in place <br />f,J ?S ner/ <br />F:\Eng\DATA\WP\pond-banks\DAMFORM.M <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 />WOW-