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Y <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />vow 0 <br />Inspectors Name : Date: -z- g `V,\,p -zjo ? ? <br />NPDES ID. No.:CO-0000213 Date Last Inspected:l o Niav -Lz D <br />Facility Configuration: Cross Valley Pond <br />Site Name: Impoundment #007 Location:46N15W SEC 6 <br />Mine Name: New Horizon Mine Location:lmi.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) Yes.. No N/A <br />2. Lift thickness (inches) <br />3. <br />4. <br />S. <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 />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 <br />b.) At isolated points on embankment slopes: Yes I!M <br />c) At natural hillside: Yes (Co. <br />d) Over widespread areas Yes J? q^' <br />e) From downsteam foundation area Yes ap <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 Y <br /> <br />Major erosion problems es <br />Yes <br />0 <br />Surface movements in valley bottom or on hillside Yes <br />Erosion of toe Yes <br />Water impounded against toe Yes <br />Existing embankment freeboard (feet) S 4-R _ Z -S _Z$ A} q <br /> <br />Cracks, bulging, or erosion on upsteam face . <br />Yes <br />CP <br />Visible sumps or sinkholes in slurry surface yes <br />Clogging <br />a) Spillway channels and pipes Yes <br />b) Decant system Yes ?o <br />c) Diversion Ditches Yes o <br />Cracking or crushing of pipes <br />a) Spillway pipes <br /> <br />b) Decant system Yes <br />Yes IMP <br />' <br />Trash racks clear and in Dlace < <br />iz, <br />F:\Eng\DATA\WP\pond-banks\DAMFOPI <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 />