Laserfiche WebLink
F: \Eng \DATA \WP \pond- banks \DAMFORM.wpd <br />PERIODIC INSPECTION FORM <br />WATER, SEDIMENT, OR SLURRY IMPOUNDMENTS <br />Inspectors Name : J . b `C.., Date: 31 ,A..v... 2zV\ <br />NPDES ID. No.:00- 0000213 Date Last Inspected: Z..tz 1. <br />Facility Configuration: Total Incised Pond <br />Site Name: Impoundment #009 Location:47N16W SEC 36 <br />Mine Name: New Horizon Mine Location:1 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) e No N/A <br />2. Lift thickness (inches) <br />3. Compaction according to approved plan No N/A <br />4. Burning (specify extend and location) Yes N/A <br />5. Angle of slope: 3:1 upstream, 3:1 downstream <br />6. Seepage (specify location, color, and approx. volume) <br />a.) From underdrain pipes: Yes EEP N/A <br />b.) At isolated points on embankment slopes: Yes e N/A <br />c) At natural hillside: Yes N/A <br />d) Over widespread areas Yes 10 N/A <br />e) From downsteam foundation area Yes , N/A <br />f) "Boils" beneath stream or ponded water Yes N/A <br />7. Cracks or scarps on crest Yes N� N/A <br />8. Cracks or scraps on slope Yes ® N/A <br />9. Sloughing or bulging on slope Yes CA N/A <br />10. Major erosion problems Yes N/A <br />11. Surface movements in valley bottom or on hillside Yes El N/A <br />12. Erosion of toe Yes N/A <br />13. Water impounded against toe Yes ® N/A <br />14. Existing embankment freeboard (feet) S q - 5.3't.3 10.6 Feet <br />15. Cracks, bulging, or erosion on upsteam face Yes ®7, N/A <br />16. Visible sumps or sinkholes in slurry surface Yes ® N/A <br />17. Clogging <br />a) Spillway channels and pipes Yes 4 N/A <br />b) Decant system Yes ® N/A <br />c) Diversion Ditches Yes N/A <br />18. Cracking or crushing of pipes <br />a) Spillway pipes Yes N/A <br />b) Decant system Yes ND N/A <br />19. Trash racks clear and in place No N/A <br />1 w4 %S l ' Y y <br />A u SvtisjC 251a t \ <br />